| NPI | 1396040812 |
|---|---|
| Doing Business As | TRYON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEO ALOYSIOUS HAYDT Dentist 857-366-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |