NPI | 1750597894 |
---|---|
Entity Type | Organization |
Authorized Contact | ABRAHAM L AZZOUZ Dentist 248-442-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901015675) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2025-09-11 |