Provider Demographics
NPI:1043357734
Name:LANEY DENTAL LAB INC
Entity Type:Organization
Organization Name:LANEY DENTAL LAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V PRESIDENT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:LANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-728-2161
Mailing Address - Street 1:413 BRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2908
Mailing Address - Country:US
Mailing Address - Phone:724-728-2161
Mailing Address - Fax:724-728-5122
Practice Address - Street 1:413 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:PA
Practice Address - Zip Code:15009-2908
Practice Address - Country:US
Practice Address - Phone:724-728-2161
Practice Address - Fax:724-728-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes292200000XLaboratoriesDental Laboratory