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Organization
LANE DENTAL LLC
Active
Organization
LANE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW R LANE DDS (OWNER)
(317) 581-1200
Entity
Organization
Contact information
Practice address
14747 OAK ROAD, SUITE 400, CARMEL, IN 46033
(317) 581-1200
(317) 582-0855
Mailing address
14747 OAK ROAD, SUITE 400, CARMEL, IN 46033
(317) 581-1200
(317) 582-0855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010414A
IN
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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