Organization
LANE AND ASSOCIATES XLVII 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
515 S CASWELL ST, LA GRANGE, NC 28551-2005
(252) 566-9616
Mailing address
12450 CLEVELAND RD STE 204, GARNER, NC 27529-8355
(919) 295-2757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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