DR. Charles Richard Hazen, DDS

NPI #1992877385 in Haines, Alaska

Provider Information

NPI Number
1992877385
Entity Type
Individual
Name
DR. Charles Richard Hazen, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Dental Public Health
Credential
DDS
Enumeration Date
Nov 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
131 1ST AVE. SOUTH
City
Haines
State
Alaska
ZIP Code
99827-1529
Phone
(907) 766-6372

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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