Mark Joshua Payne, Dmd, Pllc | |
22500 Se 64th Pl Ste 120 Issaquah WA 98027-8111 | |
(425) 391-0484 | |
Not Available |
Full Name | Mark Joshua Payne, Dmd, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 22500 Se 64th Pl Ste 120, Issaquah, Washington |
Authorized Official Name and Position | Mark Joshua Payne (OWNER) |
Authorized Official Contact | 4253910484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Joshua Payne, Dmd, Pllc 22500 Se 64th Pl Ste 120 Issaquah WA 98027-8111 Ph: (425) 391-0484 | Mark Joshua Payne, Dmd, Pllc 22500 Se 64th Pl Ste 120 Issaquah WA 98027-8111 Ph: (425) 391-0484 |
NPI Number | 1780385955 |
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Provider Enumeration Date | 03/15/2023 |
Last Update Date | 03/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780385955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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