| NPI | 1467401141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM LAWRENCE AZZOUZ President Dentist 313-535-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015675) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |