Individual
DR. BRENT MICHAEL HAZLEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12662 RILEY ST STE 130, HOLLAND, MI 49424-8023
(616) 399-6811
(616) 399-6812
Mailing address
12662 RILEY ST STE 130, HOLLAND, MI 49424-8023
(616) 399-6811
(616) 399-6812
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901021193
MI
Other
Enumeration date
07/28/2014
Last updated
08/15/2022
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