Organization
CARTER LANE, D.D.S., M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARTER LANE D.D.S., M.S. (ORTHODONTIST)
(909) 888-6630
Entity
Organization
Contact information
Practice address
164 W. HOSPITALITY LANE, SUITE 9, SAN BERNARDINO, CA 92408
(909) 888-6630
(909) 888-7691
Mailing address
164 W. HOSPITALITY LANE, SUITE 9, SAN BERNARDINO, CA 92408
(909) 888-6630
(909) 888-7691
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
247274
CA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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