Individual
MR. KEVIN MICHAEL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3264 E MAIN ST, COLUMBUS, OH 43213-2738
(614) 236-1700
(614) 236-1777
Mailing address
3264 E MAIN ST, COLUMBUS, OH 43213-2738
(614) 236-1700
(614) 236-1777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022090
OH
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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