| NPI | 1437527934 |
|---|---|
| Doing Business As | HAZEL DELL MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN S BIENSTOCK Owner 360-901-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |