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 |