Organization
LANE & ASSOCIATES XIX 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
2613 GREEN LEVEL WEST RD, CARY, NC 27519-8284
(919) 589-0270
(919) 589-0275
Mailing address
2613 GREEN LEVEL WEST RD, CARY, NC 27519-8284
(919) 589-0270
(919) 589-0275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/14/2009
Last updated
07/24/2024
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