Individual
DR. GERALD W. HAYDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22 S MAIN ST, PLAINS, PA 18705-1915
(570) 822-5297
(570) 822-1512
Mailing address
22 S MAIN ST, PLAINS, PA 18705-1915
(570) 822-5297
(570) 822-1512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023120L
PA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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