Individual
DR. ROBERT LANE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
83 HIGH ST, SUITE B, WALDORF, MD 20602-2190
(301) 885-2728
Mailing address
83 HIGH ST, SUITE B, WALDORF, MD 20602-2190
(301) 885-2728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12278
MD
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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