# DAILY DENTURE & DENTAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568688869
- **Authorized official:** DR. LESLIE HAZEL DMD (DENTIST-OWNER)
- **Authorized official phone:** (270) 843-8957

## Contact information

- **Practice address:** 1711 DESTINY LN, STE 120, BOWLING GREEN, KY 42104-1066
- **Practice address phone:** (270) 843-8957
- **Practice address fax:** (270) 843-8738
- **Mailing address:** 1711 DESTINY LN, STE 120, BOWLING GREEN, KY 42104-1066
- **Mailing address phone:** (270) 843-8957
- **Mailing address fax:** (270) 843-8738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020