Organization
PIEDMONT PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI LANE DDS (OWNER)
(336) 288-9445
Entity
Organization
Contact information
Practice address
2600 OAKCREST AVE STE A, GREENSBORO, NC 27408-1935
(336) 288-9445
Mailing address
2692 N RALEIGH ST, DENVER, CO 80212-1217
(320) 260-0731
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10864
NC
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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