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Organization
LANE AND ASSOCIATES XXXVI DDS PA
Active
Organization
LANE AND ASSOCIATES XXXVI 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
900 S GARNETT ST, HENDERSON, NC 27536-4572
(252) 438-3145
(252) 430-8228
Mailing address
12450 CLEVELAND RD STE 204, GARNER, NC 27529-8355
(919) 295-2757
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
12/23/2019
Last updated
10/21/2022
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