Individual
RONALD PAUL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 S ORTONVILLE RD, ORTONVILLE, MI 48462-8547
(248) 627-2866
(248) 627-9954
Mailing address
PO BOX 810, ORTONVILLE, MI 48462-0810
(248) 627-2866
(248) 627-9954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13772
MI
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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