Individual
EMILY VICTORIA HAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 ELMWOOD AVE # 683, ROCHESTER, NY 14620-2913
(585) 275-8315
Mailing address
625 ELMWOOD AVE # 683, ROCHESTER, NY 14620-2913
(585) 275-8315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
120014
ZZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2019
Last updated
06/15/2020
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