Ryan M Payne Dmd PC

NPI #1538548011 in Boise, Idaho

Provider Information

NPI Number: 1538548011
Entity Type: Organization
Organization Name: Ryan M Payne Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 29, 2015
Last Updated: May 29, 2015

Practice Location

Address: 1975 S BROADWAY AVE
City: Boise
State: Idaho
ZIP Code: 83706-4201
Phone: (208) 345-8255

Authorized Official

Name: RYAN M PAYNE
Title: PRESIDENT
Phone: (208) 345-8255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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