# LAKEWOOD DENTAL GROUP III

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063552313
- **Authorized official:** DR. RAMZI A ATOUI DDS (PRESIDENT)
- **Authorized official phone:** (313) 271-1800

## Contact information

- **Practice address:** 19451 W WARREN AVE, DETROIT, MI 48228
- **Practice address phone:** (313) 271-1800
- **Mailing address:** 19451 W WARREN AVE, DETROIT, MI 48228
- **Mailing address phone:** (313) 271-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 016915 | MI | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020