Individual
DR. JESSICA HAZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
3202 GRANGE RD, TRENTON, MI 48183-3471
(734) 756-4133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901022606
—
MI
Enumeration date
06/26/2018
Last updated
06/26/2018
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