| Ryan M Payne Dmd Pc | |
|
1975 S Broadway Ave Boise ID 83706-4201 | |
| (208) 345-8255 | |
| Not Available |
| Full Name | Ryan M Payne Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1975 S Broadway Ave, Boise, Idaho |
| Authorized Official Name and Position | Ryan M Payne (PRESIDENT) |
| Authorized Official Contact | 2083458255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan M Payne Dmd Pc 1975 S Broadway Ave Boise ID 83706-4201 Ph: (208) 345-8255 | Ryan M Payne Dmd Pc 1975 S Broadway Ave Boise ID 83706-4201 Ph: (208) 345-8255 |
| NPI Number | 1538548011 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538548011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Idaho) | Primary |
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