Individual
TYSON HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7321 BALMER AVE., HILL AFB, UT 84041
(801) 777-7011
Mailing address
7321 BALMER AVE., HILL AFB, UT 84041
(801) 777-7011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13009954-9926
UT
Other
Enumeration date
04/12/2022
Last updated
12/03/2024
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