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Organization

DR. LEO A HAYDT IV AND DR. CHARLES ASHLEY MANN, PA

Active
Other names
Tryon Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEO ALOYSIOUS HAYDT IV DMD (DENTIST)
(857) 366-1662
Entity
Organization

Contact information

Practice address
2720 LAKE WHEELER RD, SUITE 125, RALEIGH, NC 27603-2890
(857) 366-1662
Mailing address
2720 LAKE WHEELER RD, SUITE 125, RALEIGH, NC 27603-2890
(857) 366-1662

Taxonomy

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

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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