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Individual

DR. PAUL G. HAINES II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
442606 EAST 250 RD., VINITA, OK 74301-0887
(918) 256-3392
(918) 256-4421
Mailing address
PO BOX 887, VINITA, OK 74301-0887
(918) 256-3392
(918) 256-4421

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5520
OK

Other

Enumeration date
10/31/2006
Last updated
05/26/2009
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