Individual
DARRELL R HAZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2306 RIDGEVIEW LN, CLAREMORE, OK 74017-4725
(918) 341-1034
Mailing address
2306 RIDGEVIEW LN, CLAREMORE, OK 74017-4725
(918) 341-1034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5208
OK
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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