Organization
LANE AND ASSOCIATES LV 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
3205 ROGERS RD, WAKE FOREST, NC 27587-3805
(919) 453-2300
Mailing address
3205 ROGERS RD, WAKE FOREST, NC 27587-3805
(919) 453-2300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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