Individual
DR. MIKAELA LEIGH HAZARD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2910 UNIVERSITY DR S, FARGO, ND 58103-6032
(701) 212-1206
(701) 280-2614
Mailing address
2910 UNIVERSITY DR S, FARGO, ND 58103-6032
(701) 212-1206
(701) 280-2614
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2379
ND
Other
Enumeration date
06/20/2017
Last updated
08/22/2019
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