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Professional Lane Dental, Pllc
Dental Clinic/Center in Dothan, Alabama
NPI 1508486424

Professional Lane Dental, Pllc is a Dental Clinic/Center based in Dothan, AL and is specialized in Dental. Professional Lane Dental, Pllc practices in Dothan, AL. The NPI Number for Professional Lane Dental, Pllc is 1508486424 and holds a License No. (Alabama).

The current practice location address for Professional Lane Dental, Pllc is 102 Professional Ln, Dothan, AL and can be reached out via phone at 334-792-0997 and via fax at 334-702-6896.

Location: 102 Professional Ln, Dothan, AL, 36303-3874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508486424
Provider Name
Professional Lane Dental, Pllc
Credential
Provider Entity Type
Organization
Address
102 Professional Ln, Dothan, AL, 36303-3874
Phone Number
334-792-0997
Fax Number
334-702-6896
Provider Enumeration Date
04/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Professional Ln
City
Dothan
State
Alabama
Zip
36303-3874
Phone Number
334-792-0997
Fax Number
334-702-6896
person
Provider Business Mailing Address Details
Address
102 Professional Ln
City
Dothan
State
Alabama
Zip
36303-3874
Phone Number
334-792-0997
Fax Number
334-702-6896
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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