Individual
MR. BRYAN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1249 POWELL ST, EMERYVILLE, CA 94608
(510) 652-3070
(510) 652-0387
Mailing address
1249 POWELL ST, EMERYVILLE, CA 94608
(510) 652-3070
(510) 652-0387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
031066
CA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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