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Organization
LANE ORAL & MAXILLOFACIAL SURGERY PC
Active
Organization
LANE ORAL & MAXILLOFACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F LANE DMD (PRESIDENT)
(508) 746-8700
Entity
Organization
Contact information
Practice address
30 RESNIK RD, PLYMOUTH, MA 02360
(508) 746-8700
(508) 746-2434
Mailing address
30 RESNIK RD, PLYMOUTH, MA 02360
(508) 746-8700
(508) 746-2434
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13878
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21191
MA
Other
Enumeration date
09/20/2006
Last updated
10/06/2011
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