Individual
DR. JEFFREY WALTER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
208 N HADDON AVE, HADDONFIELD, NJ 08033-2343
(856) 429-1333
Mailing address
208 N HADDON AVE, HADDONFIELD, NJ 08033-2343
(856) 429-1333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02362900
NJ
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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