COLLEEN BAINES

LAFAYETTE, IN
NPI1609093988
Former NameCOLLEEN CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12010256A)
Enumeration Date2007-04-19
Last Update Date2015-03-23
Business Address
Dr. COLLEEN BAINES DDS
103 FARABEE DR N SUITE B
LAFAYETTE, IN 47905-5915
Phone number: 765-447-7052
Mailing Address
Dr. COLLEEN BAINES DDS
103 FARABEE DR N SUITE B
LAFAYETTE, IN 47905-5915
Phone number: 765-447-7052
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ORAL SURGERY OFFICE LLC