Individual
DR. MICHAEL HAZUDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5301 LIMESTONE RD, SUITE #212, WILMINGTON, DE 19808-1250
(302) 239-8230
(302) 239-8249
Mailing address
5301 LIMESTONE RD, SUITE #212, WILMINGTON, DE 19808-1250
(302) 239-8230
(302) 239-8249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
915
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000884908
—
DE
Enumeration date
01/25/2007
Last updated
07/08/2007
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