DR. Douglas James Hazel, DDS

NPI #1205043064 in Mishawaka, Indiana

Provider Information

NPI Number
1205043064
Entity Type
Individual
Name
DR. Douglas James Hazel, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
544 LINCOLN WAY W
State
Indiana
ZIP Code
46544-1844
Phone
(574) 255-6052

Specialties & Taxonomy Codes

Specialty
Dentist

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