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LANE & ASSOCIATES XXI, DDS PA

Organization (NPI-2) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1275819708
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4106 WAKE FOREST RD SUITE 203, RALEIGH, NC, 276096398
Phone
(919) 277-0577

Specialties & Taxonomies

Dentist, General Practice License: NC #4785
Dentist, Periodontics License: NC #4785
Dentist, Oral and Maxillofacial Surgery Primary License: NC #4785

All Addresses

MAILING

4106 WAKE FOREST RD SUITE 203

RALEIGH, NC, 276096398

(919) 277-0577

LOCATION

4106 WAKE FOREST RD SUITE 203

RALEIGH, NC, 276096398

(919) 277-0577