Individual
KATRICE L LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 E GENERAL STEWART WAY, HINESVILLE, GA 31313
(912) 368-3333
Mailing address
48 VINING WAY, RICHMOND HILL, GA 31324-9406
(229) 588-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013705
GA
Other
Enumeration date
07/20/2008
Last updated
04/16/2019
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