| Hazelton Family Dental P.c. | |
|
1029 Reservoir Ave Cranston RI 02910-5134 | |
| (401) 943-1234 | |
| (401) 943-1297 |
| Full Name | Hazelton Family Dental P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1029 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Brandon Hazelton (INCORPORATOR) |
| Authorized Official Contact | 4019431234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazelton Family Dental P.c. 1029 Reservoir Ave Cranston RI 02910-5134 Ph: (401) 943-1234 | Hazelton Family Dental P.c. 1029 Reservoir Ave Cranston RI 02910-5134 Ph: (401) 943-1234 |
| NPI Number | 1437885993 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437885993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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