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Organization

W. LEE PAYNE, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALTER LEE PAYNE DDS (GENERAL DENTIST)
(907) 452-7007
Entity
Organization

Contact information

Practice address
1919 LATHROP ST STE 211, FAIRBANKS, AK 99701-5942
(907) 452-7007
(907) 456-5834
Mailing address
1919 LATHROP ST STE 211, FAIRBANKS, AK 99701-5942
(907) 452-7007
(907) 456-5834

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
423
AK

Other

Enumeration date
01/08/2008
Last updated
01/08/2008
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