Larry G Payne DDS Lc

NPI #1255884425 in Waterloo, Indiana

Provider Information

NPI Number
1255884425
Entity Type
Organization
Organization Name
Larry G Payne DDS Lc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 25, 2016
Last Updated
Jul 25, 2016

Practice Location

Address
605 S WAYNE ST
State
Indiana
ZIP Code
46793-9472
Phone
(260) 837-2138

Authorized Official

Name
DIANNA J PAYNE
Title
VICE PRESIDENT/ OFFICE MANAGER
Phone
(260) 837-2138

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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