Leslie Ann Hazel D.M.D.

NPI 1053397166 - Dentist - 1223G0001X

NPI Details
NPI 1053397166
Gender Female
Enumeration Date 12/20/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1711 DESTINY LN
STE 120
BOWLING GREEN KY, 42104-1066, US
Phone (270) 843-8738
Fax (270) 843-8738
Business Location
1711 DESTINY LN
STE 120
BOWLING GREEN KY, 42104-1066, US
Phone (270) 843-8738
Fax (270) 843-8738
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 4960
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According to our database, Leslie Ann Hazel D.M.D. NPI is 1053397166, taxonomy code is 1223G0001X and license number is 4960, license state is located at Kentucky. Leslie Ann Hazel D.M.D. physically located at 1711 Destiny Ln, Bowling Green KY, 42104-1066. NPI Number Leslie Ann Hazel D.M.D. has the Individual type.

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1053397166 NPI number is provided on an as is basis without warranty of any kind. 1053397166 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Ann Hazel D.M.D. are for informational purposes only.