Organization
COLQUITT DENTAL CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A LANE DMD (OWNER/DENTIST)
(229) 758-3345
Entity
Organization
Contact information
Practice address
115 N CUTHBERT ST, COLQUITT, GA 39837-3401
(229) 758-3345
(229) 758-3339
Mailing address
115 N CUTHBERT ST, COLQUITT, GA 39837-3401
(229) 758-3345
(229) 758-3339
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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