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Organization
LANE AND ASSOCIATES XXXII DDS PA
Active
Organization
LANE AND ASSOCIATES XXXII DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
411 FAIRVIEW ST, CLINTON, NC 28328-2311
(910) 592-3516
(910) 592-0530
Mailing address
120 NE MAYNARD RD, CARY, NC 27513-9615
(919) 677-1932
(919) 677-2942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4785
NC
1223P0300X
Periodontics
4785
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4785
NC
Other
Enumeration date
06/13/2017
Last updated
04/28/2022
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