Individual
JOHN C HAZEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
413 W WASHINGTON AVE, MADISON, WI 53703-2703
(608) 251-8790
(608) 251-0242
Mailing address
413 W WASHINGTON AVE, MADISON, WI 53703-2703
(608) 251-8790
(608) 251-0242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4304
WI
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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