Individual
CONLEY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1205 HARRISON AVE NW, OLYMPIA, WA 98502-5494
(360) 352-4008
Mailing address
1954 TROSPER RD SW APT N201, TUMWATER, WA 98512-8133
(808) 226-9299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60874696
WA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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