| Hazelton Family Dentistry, Pa | |
|
677 Anne St Nw Ste F Bemidji MN 56601-4390 | |
| (218) 333-8668 | |
| Not Available |
| Full Name | Hazelton Family Dentistry, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 677 Anne St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Zachary David Hazelton (DENTIST) |
| Authorized Official Contact | 2183338668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazelton Family Dentistry, Pa Po Box 397 Bemidji MN 56619-0397 Ph: (218) 333-8668 | Hazelton Family Dentistry, Pa 677 Anne St Nw Ste F Bemidji MN 56601-4390 Ph: (218) 333-8668 |
| NPI Number | 1083874143 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083874143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12566 (Minnesota) | Primary |
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