Individual
CLAYTON HAZELTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1029 RESERVOIR AVE, CRANSTON, RI 02910-5134
(401) 943-1234
Mailing address
1029 RESERVOIR AVE, CRANSTON, RI 02910-5134
(401) 943-1234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2373
RI
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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