Organization
ASATANI & PAYNE A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT W PAYNE DDS (CORP SECRETARY)
(626) 332-6291
Entity
Organization
Contact information
Practice address
646 W SAN BERNARDINO RD, COVINA, CA 91722
(626) 332-6291
(626) 339-4968
Mailing address
646 W SAN BERNARDINO RD, COVINA, CA 91722
(626) 332-6291
(626) 339-4968
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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