Most Relevant Information
Provider Data
| NPI Number: | 1003028002 |
| Provider Name: | KENT T. HAYNES DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 105037 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
143 COUNTY ROAD 250
DURANGO
CO
813018530
Practice Location Phone/Fax
| Phone: | 9702479549 |
| Fax: | 9702591705 |
Provider Mailing Location
143 COUNTY ROAD 250
DURANGO
CO
813018530
Provider Mailing Phone/Fax
| Phone: | 9702479549 |
| Fax: | 9702591705 |