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Individual

DR. LINWOOD HURLEY LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
219 WESTDALE DR, WALDORF, MD 20601-4949
(301) 825-4523
Mailing address
219 WESTDALE DR, WALDORF, MD 20601-4949

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12838
MD

Other

Enumeration date
01/08/2007
Last updated
02/07/2012
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