Haines Family Dental, LLC
NPI #1770128423 in Deptford, New Jersey
Provider Information
- NPI Number
- 1770128423
- Entity Type
- Organization
- Organization Name
- Haines Family Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 16, 2019
- Last Updated
- Nov 16, 2019
Practice Location
- Address
- 1104 COOPER ST
- City
- Deptford
- State
- New Jersey
- ZIP Code
- 08096-3012
- Phone
- (856) 845-1200
Authorized Official
- Name
- DR. GREGORY HAINES JR., DMD
- Title
- OWNER
- Phone
- (609) 330-3804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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