Individual
DR. GREGORY DONALD LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
940 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9068
(630) 830-8330
Mailing address
940 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029593
IL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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