Organization
LANE AND ASSOCIATES XLII 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
2401 CAPITAL BLVD, RALEIGH, NC 27604-2236
(919) 827-8980
(919) 827-8981
Mailing address
2401 CAPITAL BLVD, RALEIGH, NC 27604-2236
(877) 526-3337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
10/11/2021
Last updated
04/28/2022
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