Individual
MS. DIANE C HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1720 HOLLAND ST, ERIE, PA 16503-1808
(814) 456-8548
Mailing address
PO BOX 369, ERIE, PA 16512-0369
(814) 454-4530
(814) 456-2375
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH002997L
PA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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