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Organization
STAR TEK ADULT DENTAL GROUP
Active
Organization
STAR TEK ADULT DENTAL GROUP
Active
Parent organization
JERRY L LANIER, DDS, INC
Other names
Jerry Lanier, DDS, Inc, Star Tek Adult Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
JERRY L LANIER, DDS, INC
Authorized official
MRS. MICHELLE AMMONS HR (ADMINISTATOR)
(661) 312-1433
Entity
Organization
Contact information
Practice address
815 CECIL AVE, DELANO, CA 93215-1716
(323) 203-2564
Mailing address
5449 HOLLYWOOD BLVD STE A, LOS ANGELES, CA 90027-3454
(323) 203-2564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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