Individual
TARA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
105 MANHEIM AVE, BRIDGETON, NJ 08302-2139
(856) 451-4700
(856) 327-4208
Mailing address
53 S LAUREL ST, BRIDGETON, NJ 08302-1946
(856) 451-4700
(856) 327-4208
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00899400
NJ
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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