Individual
MR. CHARLES PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.R.T., S.D.S.
Contact information
Practice address
803 LYNN ST, CADILLAC, MI 49601-2336
(231) 878-0578
(231) 876-7160
Mailing address
803 LYNN ST, CADILLAC, MI 49601
(231) 878-0578
(231) 876-7160
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
4401005919
MI
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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