Organization
DR. LEO A. HAYDT, IV AND DR. CHARLES ASHLEY MANN
Active
Other names
Tryon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO ALOYSIOUS HAYDT IV DMD (DOCTOR/PRESIDENT)
(919) 747-7888
Entity
Organization
Contact information
Practice address
1310 FIFTH AVENUE, SUITE 100, GARNER, NC 27529-3638
(919) 747-7888
Mailing address
1310 FIFTH AVENUE, SUITE 100, GARNER, NC 27529-3638
(919) 747-7888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8911
NC
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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