| NPI | 1750597894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM L AZZOUZ Dentist 248-442-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015675) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |