Individual
DR. WALTER LEE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1919 LATHROP ST, SUITE 211, FAIRBANKS, AK 99701-5930
(907) 452-7007
(907) 456-5834
Mailing address
1919 LATHROP ST, SUITE 211, FAIRBANKS, AK 99701-5930
(907) 452-7007
(907) 456-5834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
423
AK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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