Lane Gibson Clower, DMD Valid NPI
Individual provider · General Practice Dentistry · Edwards, MS
- NPI
- 1386710127
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2535 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-24
- Last updated
- 2007-07-08
Practice location
1202 Hwy 22
Edwards, MS 39066
(601) 852-2832