Individual
AZIZ MOUKLED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6700
Mailing address
149 MARTIN DRIVE, BELLE RIVER, ON N0R1A-0
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021724
MI
122300000X
Dentist
Primary
2952000814
MI
Other
Enumeration date
12/08/2015
Last updated
01/23/2023
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