| Lane Family Dental, Llc | |
|
1301 E Palmer Wasilla Hwy Ste 600 Wasilla AK 99654-7256 | |
| (907) 373-2200 | |
| Not Available |
| Full Name | Lane Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 E Palmer Wasilla Hwy Ste 600, Wasilla, Alaska |
| Authorized Official Name and Position | Jason Lane (OWNER/DENTIST) |
| Authorized Official Contact | 9073732200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane Family Dental, Llc 1301 E Palmer Wasilla Hwy Ste 600 Wasilla AK 99654-7256 Ph: (907) 373-2200 | Lane Family Dental, Llc 1301 E Palmer Wasilla Hwy Ste 600 Wasilla AK 99654-7256 Ph: (907) 373-2200 |
| NPI Number | 1225613813 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225613813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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