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Individual
KRISTEN LANE
Active
Individual
KRISTEN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14101
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
802036
NC
Other
Enumeration date
05/07/2024
Last updated
03/20/2026
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