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Individual

DR. JOHN ROBERT PAYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2058 E GRAND AVE, SUITE 15, LINDENHURST, IL 60046-9058
(847) 356-7400
(847) 356-7400
Mailing address
2058 E GRAND AVE, SUITE 15, LINDENHURST, IL 60046-9058
(847) 356-7400
(847) 356-7400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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