Organization
LANE AND ASSOCIATES XXVII 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
4013 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
(919) 217-2813
Mailing address
4013 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
(919) 217-2813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Enumeration date
08/13/2013
Last updated
03/18/2024
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