Individual
DR. THERESA C. I. HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
309 N WILSON RD, RADCLIFF, KY 40160-2194
(270) 352-4343
(270) 352-4373
Mailing address
146 DARBY WOODS CT, RADCLIFF, KY 40160-8604
(502) 445-2652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8389
KY
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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