Organization
PROFESSIONAL LANE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLINDA STRICKLAND (OFFICE MANAGER)
(334) 792-0997
Entity
Organization
Contact information
Practice address
102 PROFESSIONAL LN, DOTHAN, AL 36303-3874
(334) 792-0997
(334) 702-6896
Mailing address
102 PROFESSIONAL LN, DOTHAN, AL 36303-3874
(334) 792-0997
(334) 702-6896
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
05/13/2020
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