NPI 1275674434
Krystal Lane
Practice location
- Address
- 1213 Coffee Rd STE D, Modesto, CA 95355-4229
- Phone
- (209) 522-5238
- Fax
- (209) 522-4703
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1275674434
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Feb 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.