Individual
LANE GARY STILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
139 NORTH MAIN STREET, GEORGE, IA 51237
(712) 475-3871
Mailing address
139 NORTH MAIN STREET, GEORGE, IA 51237
(712) 475-3871
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06499
IA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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