Individual
JOSEPH AZZOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24366 GRAND RIVER AVE, DETROIT, MI 48219-3098
(248) 924-7773
Mailing address
16968 BROOKLANE BLVD, NORTHVILLE, MI 48168-8422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600231
MI
1223G0001X
General Practice Dentistry
2901600231
MI
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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