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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 (PRESIDENT)
(704) 979-3436
Entity
Organization
Contact information
Practice address
8455 PIT STOP CT NW, SUITE 140, CONCORD, NC 28027-8249
(704) 979-3436
Mailing address
8455 PIT STOP CT NW, SUITE 140, CONCORD, NC 28027-8249
(704) 979-3436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8832
NC
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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