Organization
T. LANCE COLLIER, D.M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LANCE COLLIER D.M.D (MANAGER)
(706) 494-2844
Entity
Organization
Contact information
Practice address
6801 RIVER RD, BUILDING A, SUITE 200, COLUMBUS, GA 31904-3352
(706) 494-2844
Mailing address
PO BOX 604, FORTSON, GA 31808-0604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013514
GA
Other
Enumeration date
09/15/2010
Last updated
10/08/2010
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