DR. Larry Jason Payne, D.M.D.

NPI #1689795148 in Buford, Georgia

Provider Information

NPI Number
1689795148
Entity Type
Individual
Name
DR. Larry Jason Payne, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Apr 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4965 FRIENDSHIP RD
Address 2
SUITE 105
City
Buford
State
Georgia
ZIP Code
30518-1700
Phone
(770) 614-7122

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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