Individual
DR. DOUGLAS JAMES HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
544 LINCOLN WAY W, MISHAWAKA, IN 46544-1844
(574) 255-6052
Mailing address
544 LINCOLN WAY W, MISHAWAKA, IN 46544-1844
(574) 255-6052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006605A
IN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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