Individual
DR. DARYL B PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
525 S FAIRMONT AVE, SUITE C, LODI, CA 95240-3860
(209) 334-0938
(209) 334-4432
Mailing address
525 S FAIRMONT AVE, SUITE C, LODI, CA 95240-3860
(209) 334-0938
(209) 334-4432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24585
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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