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Organization
LANE AND ASSOCIATES XXV DDS PA
Active
Organization
LANE AND ASSOCIATES XXV DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA M DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
1117 SE SECOND ST, SNOW HILL, NC 28580-2009
(252) 747-2376
(252) 747-4024
Mailing address
1117 SE SECOND ST, SNOW HILL, NC 28580-2009
(252) 747-2376
(252) 747-4024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2024
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