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Individual

DAVID LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
320 VEEDER AVE, SCHENECTADY, NY 12307-1304
(518) 388-4300
Mailing address
PO BOX 721, RHINEBECK, NY 12572-0721

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061198
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/01/2019
Last updated
12/04/2022
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