DR. Dale R Hazelbaker, D.D.S.

NPI #1013069053 in Springfield, Ohio

Provider Information

NPI Number: 1013069053
Entity Type: Individual
Name: DR. Dale R Hazelbaker, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 725 N LIMESTONE ST
City: Springfield
State: Ohio
ZIP Code: 45503-3615
Phone: (937) 325-7031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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