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Organization
LANE AND ASSOCIATES XXVIII, DDS PA
Active
Organization
LANE AND ASSOCIATES XXVIII, 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
806 W HAMLET AVE STE A, HAMLET, NC 28345-2508
(910) 582-5143
(910) 582-8620
Mailing address
806 W HAMLET AVENUE, HAMLET, NC 28435-2508
(910) 582-5143
(910) 582-8620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Enumeration date
10/14/2014
Last updated
04/26/2022
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