Individual
DR. DAVID LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
95 OLD DIXIE HWY STE A, ADAIRSVILLE, GA 30103-2044
(888) 411-2290
(650) 412-9650
Mailing address
95 OLD DIXIE HWY STE A, ADAIRSVILLE, GA 30103-2044
(888) 411-2290
(650) 412-9650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015209
GA
Other
Enumeration date
06/22/2016
Last updated
04/17/2017
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