Individual
DR. LARRY G PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 S WAYNE ST, WATERLOO, IN 46793-9472
(260) 837-2138
(260) 837-7810
Mailing address
605 S WAYNE ST, WATERLOO, IN 46793-9472
(260) 837-2138
(260) 837-7481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008602B
IN
Other
Enumeration date
01/09/2007
Last updated
04/21/2016
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