Organization
LANE AND ASSOCIATES XXVIII, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
806 W HAMLET AVE STE A, HAMLET, NC 28345-2508
(910) 582-5143
(910) 582-8620
Mailing address
806 W HAMLET AVENUE, HAMLET, NC 28435-2508
(910) 582-5143
(910) 582-8620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Enumeration date
10/14/2014
Last updated
04/26/2022
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