Hazelton Family Dentistry, Pa

NPI 1083874143 - Clinic/Center - 261QD0000X

NPI Details
NPI 1083874143
Enumeration Date 06/12/2008
Last Updated 06/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ZACHARY DAVID ZACHARY
Position DENTIST
Phone (218) 333-8668
Fax
Practice Location
677 ANNE ST NW
STE F
BEMIDJI MN, 56601-4390, US
Phone (218) 333-8668
Fax
Business Location
PO BOX 397
BEMIDJI MN, 56619-0397, US
Phone (218) 333-8668
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Minnesota
License Number D12566
Remove 1083874143 NPI Number
 

According to our database, Hazelton Family Dentistry, Pa NPI is 1083874143, taxonomy code is 261QD0000X and license number is D12566, license state is located at Minnesota. Hazelton Family Dentistry, Pa physically located at 677 Anne St Nw, Bemidji MN, 56601-4390. NPI Number 1033115704 has the healthcare provider type.

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1083874143 NPI number is provided on an as is basis without warranty of any kind. 1083874143 is maintained by the National Plan & Provider Enumeration System. The contents of Hazelton Family Dentistry, Pa are for informational purposes only.