Individual
BYANKA MALEYNA HAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3310 LIVE OAK ST STE 200, DALLAS, TX 75204-6148
(214) 827-1305
Mailing address
3605 BRYAN ST, DALLAS, TX 75204-6112
(817) 658-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36317
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
04/05/2022
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