J.R. HAYNIE DDS PC
Organization (NPI-2)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1548607633- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 980 W IRONWOOD DR STE 301, COEUR D ALENE, ID, 838142668
- Phone
- (208) 664-0844
- Fax
- (208) 664-9682
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: ID #N-13145