Individual
DR. BRENT HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 S MACARTHUR BLVD, OKLAHOMA CITY, OK 73128-1006
(405) 352-0636
Mailing address
2225 NICHOLAS CT, EDMOND, OK 73034-3435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6848
OK
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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