Individual
DR. CHARLES RICHARD HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 1ST AVE. SOUTH, HAINES, AK 99827-1529
(907) 766-6372
(907) 766-2581
Mailing address
PO BOX 1529, 131 1ST AVE. SOUTH, HAINES, AK 99827-1529
(907) 766-6372
(907) 766-2581
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DEN D 541
AK
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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