Jason Lane

NPI #1932582327 in Wasilla, Alaska

Provider Information

NPI Number: 1932582327
Entity Type: Individual
Name: Jason Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 2, 2015
Last Updated: Sep 14, 2020

Practice Location

Address: 1301 E PALMER WASILLA HWY STE 600
City: Wasilla
State: Alaska
ZIP Code: 99654-7256
Phone: (907) 373-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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