Organization
ADVANCE DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM L AZZOUZ DDS (DENTIST)
(248) 442-2273
Entity
Organization
Contact information
Practice address
33466 W 8 MILE RD, SUITE333, FARMINGTON HILLS, MI 48335-5208
(248) 442-2273
(242) 442-9499
Mailing address
33466 W 8 MILE RD, SUITE333, FARMINGTON HILLS, MI 48335-5208
(248) 442-2273
(242) 442-9499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901015675
MI
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D15675
BCBS
MI
Enumeration date
05/15/2007
Last updated
09/11/2025
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