Individual
MRS. TRACY LYNN HAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1702 OAK ST, KENOVA, WV 25530-1120
(304) 453-6765
(304) 453-1695
Mailing address
896 BUFFALO CREEK RD, HUNTINGTON, WV 25704-9619
(304) 429-7326
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1552
WV
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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