Organization
BRIAN LANE D.D.S. P.A. 2
Active
Other names
Mayflower Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LANE (PRESIDENT)
(501) 470-9900
Entity
Organization
Contact information
Practice address
582 HIGHWAY 365 STE 4, MAYFLOWER, AR 72106-9525
(501) 470-9900
Mailing address
582 HIGHWAY 365 STE 4, MAYFLOWER, AR 72106-9525
(501) 470-9900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3395
AR
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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