Individual
DR. MICHAEL ANTHONY HAZEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
720 E PIKE ST, CLARKSBURG, WV 26301-2240
(304) 622-0595
(304) 622-6290
Mailing address
720 E PIKE ST, CLARKSBURG, WV 26301-2240
(304) 842-6369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2255
WV
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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