Organization
JENNY LANE, DDS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LANE (MEMBER)
(205) 908-7662
Entity
Organization
Contact information
Practice address
4 VANDERBILT PARK DR STE 210, ASHEVILLE, NC 28803-1759
(828) 505-1960
Mailing address
4 VANDERBILT PARK DR STE 210, ASHEVILLE, NC 28803-1759
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
7770
NC
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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