Organization
PAYNE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA CATALINA PAYNE D.M.D. (DENTIST/ PRESIDENT)
(408) 912-7555
Entity
Organization
Contact information
Practice address
250 BLOSSOM HILL RD, SUITE 100, LOS GATOS, CA 95032-4400
(408) 912-7555
(408) 782-2205
Mailing address
6236 OMAHA CT, SAN JOSE, CA 95123-5521
(408) 912-7555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59792
CA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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