Organization
LANE AND ASSOCIATES XXXIV 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
6320 CAPITAL BLVD STE 121, RALEIGH, NC 27616-3017
(919) 981-7363
(919) 981-0679
Mailing address
6320 CAPITAL BLVD STE 121, RALEIGH, NC 27616-3017
(919) 981-7363
(919) 981-0679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
09/27/2019
Last updated
04/28/2022
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