Organization
LANE AND ASSOCIATES XXXV 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
11180 E FINCH AVE, MIDDLESEX, NC 27557-7440
(252) 238-4114
(252) 966-2257
Mailing address
12450 CLEVELAND ROAD, SUITE 201, GARNER, NC 27529
(919) 861-9017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
01/14/2020
Last updated
04/28/2022
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