Individual
DR. EMMETT R MCLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 LONGWOOD AVE # A, FARMVILLE, VA 23901-1524
(434) 392-5377
(434) 392-1541
Mailing address
400 LONGWOOD AVE # A, P O BOX 909, FARMVILLE, VA 23901-1524
(434) 392-5377
(434) 392-1541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005617
VA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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