Individual
DR. CHARLES EMORY LANE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
808 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4614
(936) 564-1218
(936) 564-3371
Mailing address
808 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4614
(936) 564-1218
(936) 564-3371
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16005
TX
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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