Individual
SALLEN AOGHIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19931 W 12 MILE RD, SOUTHFIELD, MI 48076-2591
(248) 274-4020
Mailing address
16150 CLARKSON DR APT 12, FRASER, MI 48026-5251
(586) 277-7859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601236
MI
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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