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Organization
TAJ M. HAYNES DMD, PA
Active
Organization
TAJ M. HAYNES DMD, PA
Active
Other names
Modern Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAJ MICHAEL HAYNES DMD (DOCTOR)
(704) 904-8423
Entity
Organization
Contact information
Practice address
8505 DAVIS LAKE PKWY, SUITE AB-3, CHARLOTTE, NC 28269-3415
(704) 979-3436
(866) 899-1286
Mailing address
8455 PIT STOP CT NW, SUITE 140, CONCORD, NC 28027-8249
(704) 904-8423
(866) 899-1286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8832
NC
Other
Enumeration date
11/25/2014
Last updated
11/26/2014
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