Organization
HAINES FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY HAINES JR. DMD (OWNER)
(609) 330-3804
Entity
Organization
Contact information
Practice address
1104 COOPER ST, DEPTFORD, NJ 08096-3012
(856) 845-1200
Mailing address
1 POND VIEW DR APT E1, WOOLWICH TOWNSHIP, NJ 08085-5607
(609) 330-3804
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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