NPI | 1811151152 |
---|---|
Former Legal Business Name | REX ALAN PAYNE, DDS |
Entity Type | Organization |
Authorized Contact | REX ALAN PAYNE Owner 972-221-9136 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 13793) |
Enumeration Date | 2008-07-16 |
Last Update Date | 2008-07-16 |