Individual
DR. COLLEEN BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 FARABEE DR N, SUITE B, LAFAYETTE, IN 47905-5915
(765) 447-7052
(765) 449-1333
Mailing address
103 FARABEE DR N, SUITE B, LAFAYETTE, IN 47905-5915
(765) 447-7052
(765) 449-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010256A
IN
Other
Enumeration date
04/19/2007
Last updated
03/23/2015
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