| Payne Dental Corporation | |
|
250 Blossom Hill Rd Suite 100 Los Gatos CA 95032-4400 | |
| (408) 912-7555 | |
| (408) 782-2205 |
| Full Name | Payne Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 250 Blossom Hill Rd, Los Gatos, California |
| Authorized Official Name and Position | Martha Catalina Payne (DENTIST/ PRESIDENT) |
| Authorized Official Contact | 4089127555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Payne Dental Corporation 6236 Omaha Ct San Jose CA 95123-5521 Ph: (408) 912-7555 | Payne Dental Corporation 250 Blossom Hill Rd Suite 100 Los Gatos CA 95032-4400 Ph: (408) 912-7555 |
| NPI Number | 1184921082 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184921082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59792 (California) | Primary |
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