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Organization
PARK DENTAL GROUP LLC
Active
Organization
PARK DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD BAZZI DMD (OWNER/DENTIST)
(313) 587-3947
Entity
Organization
Contact information
Practice address
1880 EMMONS BLVD, LINCOLN PARK, MI 48146-3866
(313) 388-8444
Mailing address
1880 EMMONS BLVD, LINCOLN PARK, MI 48146-3866
(313) 388-8444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2026
Last updated
09/18/2026
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