| NPI | 1174826275 |
|---|---|
| Other Name | HAZEY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. HAZEY Dentist 304-622-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WV 2255) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2013-03-11 |