Organization
LANE FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LANE DDS (OWNER/DENTIST)
(907) 373-2200
Entity
Organization
Contact information
Practice address
1301 E PALMER WASILLA HWY STE 600, WASILLA, AK 99654-7256
(907) 373-2200
Mailing address
1301 E PALMER WASILLA HWY STE 600, WASILLA, AK 99654-7256
(907) 373-2200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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