| Leslie Treherne-fayton Dds Pllc | |
|
3875 Conlon Way Ste A Elizabeth City NC 27909 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Leslie Treherne-fayton Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3875 Conlon Way Ste A, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Leslie Treherne-fayton (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Treherne-fayton Dds Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Leslie Treherne-fayton Dds Pllc 3875 Conlon Way Ste A Elizabeth City NC 27909 Ph: (315) 454-6000 |
| NPI Number | 1407482177 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407482177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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