Organization
THOMAS JOACHIM LANEY MD DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOACHIM LANEY MD DDS (OWNER)
(509) 765-5141
Entity
Organization
Contact information
Practice address
1308 S PIONEER WAY, MOSES LAKE, WA 98837-2410
(509) 765-5141
(509) 765-5891
Mailing address
1308 S PIONEER WAY, MOSES LAKE, WA 98837-2410
(509) 765-5141
(509) 765-5891
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
MD00024468
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141393
DEPT OF LABOR & INDUSTRIES
WA
05
—
1035674
—
WA
05
—
5005343
—
WA
Enumeration date
11/13/2008
Last updated
11/13/2008
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