Individual
DEXTER LAWRENCE HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
325 NORTH TARBORO ROAD, RALEIGH, NC 27610
(919) 624-2434
Mailing address
325 N TARBORO ST, RALEIGH, NC 27610-2355
(919) 624-2434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8082
NC
1223G0001X
General Practice Dentistry
19654
MA
Other
Enumeration date
01/31/2007
Last updated
01/27/2014
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