Individual
DR. DANIEL JAY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7307 BALTIMORE AVE, STE 113, COLLEGE PARK, MD 20740-3231
(301) 927-9011
(301) 927-8944
Mailing address
7307 BALTIMORE AVE, STE 113, COLLEGE PARK, MD 20740-3231
(301) 927-9011
(301) 927-8944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5779
MD
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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