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Organization
JERRY L LANIER DDS, INC
Active
Organization
JERRY L LANIER DDS, INC
Active
Other names
Kids Dental Kare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L LANIER (OWNER)
(323) 461-9942
Entity
Organization
Contact information
Practice address
1400 W OLIVE AVE STE 201, BURBANK, CA 91506-2416
(818) 748-2250
Mailing address
1400 W OLIVE AVE STE 201, BURBANK, CA 91506-2416
(818) 748-2250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356489660
—
CA
Enumeration date
06/01/2010
Last updated
04/28/2015
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