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Individual

DR. ROBERT CRAIG PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1179 E PARIS AVE SE, SUITE 130, GRAND RAPIDS, MI 49546-3682
(616) 942-9840
(616) 942-0170
Mailing address
2093 STICKLEY DR SE, GRAND RAPIDS, MI 49546-6490
(616) 949-5185
(616) 942-0170

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10354
MI

Other

Enumeration date
06/07/2006
Last updated
07/08/2007
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