Individual
DR. KENT T. HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
143 COUNTY ROAD 250, DURANGO, CO 81301-8530
(970) 247-9549
(970) 259-1705
Mailing address
143 COUNTY ROAD 250, DURANGO, CO 81301-8530
(970) 247-9549
(970) 259-1705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105037
CO
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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