Individual
AMY HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3488 S WILLOW ST, DENVER, CO 80231-4531
(303) 338-8181
Mailing address
3488 S WILLOW ST, DENVER, CO 80231-4531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10475
CO
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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