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Organization
RYAN M PAYNE DMD PC
Active
Organization
RYAN M PAYNE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN M PAYNE (PRESIDENT)
(208) 345-8255
Entity
Organization
Contact information
Practice address
1975 S BROADWAY AVE, BOISE, ID 83706-4201
(208) 345-8255
Mailing address
1975 S BROADWAY AVE, BOISE, ID 83706-4201
(208) 345-8255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
ID
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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