Individual
CAROLINE KING HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7101 PINES RD, SHREVEPORT, LA 71129-3403
(318) 688-2970
(318) 688-2972
Mailing address
7101 PINES RD, SHREVEPORT, LA 71129-3403
(318) 688-2970
(318) 688-2972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6077
LA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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