Organization
LANE AND ASSOCIATES XXVI 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
401 E DR MARTIN L KING JR BLVD, ROSEBORO, NC 28382-9063
(910) 525-5115
(910) 525-3513
Mailing address
401 E NC HIGHWAY 24, ROSEBORO, NC 28382-8736
(910) 525-5115
(910) 525-3513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2012
Last updated
05/04/2022
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