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Organization

LEO A HAYDT IV DMD IV, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEO ALOYSIOUS HAYDT IV DMD (PRESIDENT)
(919) 747-7888
Entity
Organization

Contact information

Practice address
3421 OLYMPIA DR., SUITE 201, RALEIGH, NC 27603
(919) 747-7888
(919) 516-0589
Mailing address
3421 OLYMPIA DR., SUITE 201, RALEIGH, NC 27603
(919) 747-7888
(919) 516-0589

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/25/2022
Last updated
07/25/2022
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