| Michael J. Payne Ii, Dds. Inc. | |
|
2901 Wilshire Blvd Ste 336 Santa Monica CA 90403-4912 | |
| (310) 828-4451 | |
| (310) 828-4582 |
| Full Name | Michael J. Payne Ii, Dds. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2901 Wilshire Blvd Ste 336, Santa Monica, California |
| Authorized Official Name and Position | Michael John Payne (OWNER) |
| Authorized Official Contact | 3108284451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Payne Ii, Dds. Inc. 2901 Wilshire Blvd Ste 336 Santa Monica CA 90403-4912 Ph: (310) 828-4451 | Michael J. Payne Ii, Dds. Inc. 2901 Wilshire Blvd Ste 336 Santa Monica CA 90403-4912 Ph: (310) 828-4451 |
| NPI Number | 1346570215 |
|---|---|
| Provider Enumeration Date | 12/28/2009 |
| Last Update Date | 12/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346570215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52912 (California) | Primary |
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