Organization
CLAYTON G. HAZELTON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON G HAZELTON DMD (PRESIDENT)
(401) 943-1234
Entity
Organization
Contact information
Practice address
1029 RESERVOIR AVE, CRANSTON, RI 02910-5134
(401) 943-1234
(401) 943-1297
Mailing address
1029 RESERVOIR AVE, CRANSTON, RI 02910-5134
(401) 943-1234
(401) 943-1297
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2373
RI
Other
Enumeration date
02/17/2007
Last updated
06/13/2013
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