| NPI | 1518089960 | 
|---|---|
| Doing Business As | ROBERT D. HAZEN D.D.S., P.C | 
| Entity Type | Organization | 
| Authorized Contact | ROBERT DEAN HAZEN Dentist 801-295-5586  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 130257-9921)  | 
| Enumeration Date | 2007-04-05 | 
| Last Update Date | 2020-08-22 |