| NPI | 1356560346 |
|---|---|
| Doing Business As | DRS. LACY, WEIDMAN & HAZEY III |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A HAZEY Owner 304-842-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WV 2285) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-04-12 |