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Individual

DR. JACQUELINE MORGAN PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1820 SONOMA AVE STE 36, SANTA ROSA, CA 95405-6617
(707) 546-5234
Mailing address
1820 SONOMA AVE STE 36, SANTA ROSA, CA 95405-6617
(707) 546-5234

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103919
CA

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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