Individual
KENNETH DAVID HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5756 S STAPLES ST STE F, CORPUS CHRISTI, TX 78413-3796
(361) 993-2290
Mailing address
5756 S STAPLES ST STE F, CORPUS CHRISTI, TX 78413-3796
(361) 993-2290
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
27846
TX
Other
Enumeration date
11/12/2008
Last updated
05/22/2012
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