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Organization

LANE AND ASSOCIATES XXIX, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERIN S POPE (CREDENTIALING MANAGER)
(919) 639-0264
Entity
Organization

Contact information

Practice address
6480 TRYON RD, CARY, NC 27518-7050
(919) 639-0264
(919) 331-2415
Mailing address
6480 TRYON RD, CARY, NC 27518-7050
(919) 639-0264
(919) 331-2415

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
04/27/2016
Last updated
04/27/2016
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