Organization
LANE AND ASSOCIATES XLVI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA MARIE DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
2201 CANDUN DR STE 202, APEX, NC 27523-6413
(919) 387-7433
(919) 387-7005
Mailing address
2201 CANDUN DR STE 202, APEX, NC 27523-6413
(919) 387-7433
(919) 387-7005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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