Individual
DR. LAURIE KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10460 PARK RD STE 101, CHARLOTTE, NC 28210-8536
(704) 579-5440
(980) 785-9710
Mailing address
8444 FAIRGREEN AVE, WAXHAW, NC 28173-7071
(323) 481-0674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
55197
CA
1223P0221X
Pediatric Dentistry
12274
NC
1223P0221X
Pediatric Dentistry
Primary
G1-0011477
DE
Other
Enumeration date
03/30/2007
Last updated
04/03/2025
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