LANE B PRIOR, DDS, PA
Dentist at Flagler Dr, West Palm Beach, FL

License number
Florida DN7395
Category
Dentist
Type
General Practice
Owner
Name: DR. LANE B PRIOR DDS
Title: PRESIDENT
Phone: (561) 655-8066
Address
Address
1515 N Flagler Dr STE 520, West Palm Beach, FL 33401
National Provider ID: 1639292840
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LANE B. PRIOR, DDS, PA

1515 N Flagler Dr SUITE 520, West Palm Beach, FL 33401

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Nov 26, 1980
Inactive since:
May 29, 2001
State ID:
F07997
Business type:
Florida Profit Corporation
Directors:
Lane Bdds Prior (President, Treasurer, Director), 1787 Dorchester Pl, West Palm Beach, FL 33414 (Physical),Debra K Prior (Director, Secretary, Vice President), 1787 Dorchester Pl, West Palm Beach, FL 33414 (Physical),Stacia E Buzzanca (Director), 1754 Dorchester Pl, West Palm Beach, FL 33414 (Physical),...
Agent:
Lane Prior,1515 N Flagler Dr SUITE 520, West Palm Beach, FL 33401 (Physical)
EIN:
592008166

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