Individual
DR. COLBY HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 229-7062
Mailing address
PO BOX 1524, BETHEL, AK 99559-1524
(907) 229-7062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
114079
AK
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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