Individual
DR. BALSAM AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2141 15 MILE RD, STERLING HEIGHTS, MI 48310-4807
(586) 795-5504
Mailing address
2141 15 MILE RD, STERLING HEIGHTS, MI 48310-4807
(586) 795-5504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15277
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383223640
ALL OTHER INSURANCES
MI
05
—
4927253
—
MI
Enumeration date
12/22/2006
Last updated
07/21/2016
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