Individual
JOHN BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
49701 GRAND RIVER AVE, WIXOM, MI 48393-3307
(248) 864-2378
Mailing address
18080 RIDGEVIEW DR, NORTHVILLE, MI 48168-8568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022196
MI
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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