Organization
DON G LANE DDS,PLLC
Active
Other names
Denture Makers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY T MORAN (CORPORATE MANAGER)
(910) 892-4535
Entity
Organization
Contact information
Practice address
598 E JACKSON BLVD, ERWIN, NC 28339-9629
(910) 892-4535
(910) 892-0255
Mailing address
596B EAST JACKSON BLVD, ERWIN, NC 28339
(910) 892-4535
(910) 892-0255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4785
NC
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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