KELLY T PAYNE

EAU CLAIRE, WI
NPI1548322050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  5423)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
KELLY T PAYNE D.D.S.
4605 ROYAL DR
EAU CLAIRE, WI 54701-2928
Phone number: 715-855-9220
Mailing Address
KELLY T PAYNE D.D.S.
4605 ROYAL DR
EAU CLAIRE, WI 54701-2928
Phone number: 715-855-9220
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