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Organization

LANE AND ASSOCIATES XXIX, DDS, PA

Active
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Organization

LANE AND ASSOCIATES XXIX, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERIN S POPE (CREDENTIALING MANAGER)
(919) 639-0264
Entity
Organization

Contact information

Practice address
6480 TRYON RD, CARY, NC 27518-7050
(919) 639-0264
(919) 331-2415
Mailing address
6480 TRYON RD, CARY, NC 27518-7050
(919) 639-0264
(919) 331-2415

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—

Other

Enumeration date
04/27/2016
Last updated
04/27/2016
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