Individual
LESLIE ANN HAZEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1711 DESTINY LN, STE 120, BOWLING GREEN, KY 42104-1066
(270) 843-8738
(270) 843-8738
Mailing address
1711 DESTINY LN, STE 120, BOWLING GREEN, KY 42104-1066
(270) 843-8738
(270) 843-8738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4960
KY
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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