Individual
DR. AMY HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
535 W SOUTH BOULDER RD, SUITE 200, LAFAYETTE, CO 80026-2097
(260) 336-4220
Mailing address
715 S LAFAYETTE DR, 212, LAFAYETTE, CO 80026-3581
(618) 420-9314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2016000785
MO
1223G0001X
General Practice Dentistry
Primary
DEN.00202756
CO
Other
Enumeration date
02/17/2016
Last updated
03/01/2016
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