KACY RENEE LANE

WAIANAE, HI
NPI1316280076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: HI  DTT 285)
Additional Taxonomies122300000X Dentist
(Licence: CA  64167)
Enumeration Date2013-04-01
Last Update Date2017-01-27
Business Address
Dr. KACY RENEE LANE D.D.S.
86-260 FARRINGTON HWY
WAIANAE, HI 96792-3128
Phone number: 808-697-3496
Mailing Address
Dr. KACY RENEE LANE D.D.S.
86-260 FARRINGTON HIGHWAY
WAIANAE, HI 96792-4362
Phone number: 808-697-3496
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