Individual
DR. WARREN C BAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
302 IVY HILL COURT, MUTTONTOWN, NY 11753
(516) 433-8386
(516) 433-8386
Mailing address
302 IVY HILL COURT, MUTTONTOWN, NY 11753
(516) 433-8386
(516) 433-8386
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
036981
NY
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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