Individual
DR. GREGORY HAINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1104 COOPER ST, DEPTFORD, NJ 08096-3012
(856) 845-1200
Mailing address
323 BEECH AVE, WOODBURY HEIGHTS, NJ 08097-1316
(609) 330-3804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02717700
NJ
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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