Ida Beatrice Lanier DDS

NPI 1164594032 - Dentist - 122300000X

NPI Details
NPI 1164594032
Gender Female
Enumeration Date 11/15/2006
Last Updated 12/10/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
3035 PANOLA RD STE A
LITHONIA GA, 30038-2494, US
Phone (770) 593-3426
Fax (770) 593-3672
Business Location
3035 PANOLA RD STE A
LITHONIA GA, 30038-2494, US
Phone (770) 593-3426
Fax (770) 593-3672
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number 11228
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According to our database, Ida Beatrice Lanier DDS NPI is 1164594032, taxonomy code is 122300000X and license number is 11228, license state is located at Georgia. Ida Beatrice Lanier DDS physically located at 3035 Panola Rd Ste A, Lithonia GA, 30038-2494. NPI Number Ida Beatrice Lanier DDS has the Individual type.

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1164594032 NPI number is provided on an as is basis without warranty of any kind. 1164594032 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Beatrice Lanier DDS are for informational purposes only.