Individual
DR. CHRISTOPHER RYAN HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
544 LINCOLNWAY WEST, MISHAWAKA, IN 46544
(574) 255-6052
(574) 255-6996
Mailing address
544 LINCOLNWAY WEST, MISHAWAKA, IN 46544
(574) 255-6052
(574) 255-6996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009967
IN
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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