Individual
DR. JEREMY JAMES HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
19372 HIGHRIDGE WAY, TRABUCO CANYON, CA 92679-1628
(801) 735-7461
Mailing address
19372 HIGHRIDGE WAY, TRABUCO CANYON, CA 92679-1628
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100553
CA
Other
Enumeration date
09/02/2016
Last updated
10/23/2024
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