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Organization
LANE AND ASSOCIATES XXVI DDS PA
Active
Organization
LANE AND ASSOCIATES XXVI 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
401 E DR MARTIN L KING JR BLVD, ROSEBORO, NC 28382-9063
(910) 525-5115
(910) 525-3513
Mailing address
401 E NC HIGHWAY 24, ROSEBORO, NC 28382-8736
(910) 525-5115
(910) 525-3513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2012
Last updated
05/04/2022
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