# LAKEWOOD DENTAL GROUP III

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

## Provider details

- **NPI number:** 1427160969
- **Authorized official:** DR. RAMZI A ATOUI DDS (PRESIDENT)
- **Authorized official phone:** (313) 581-1864

## Contact information

- **Practice address:** 15846 MICHIGAN AVE, DEARBORN, MI 48126
- **Practice address phone:** (313) 581-1864
- **Practice address fax:** (313) 581-1646
- **Mailing address:** 15846 MICHIGAN AVE, DEARBORN, MI 48126
- **Mailing address phone:** (313) 581-1864
- **Mailing address fax:** (313) 581-1646

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020