Individual
DR. AUSTIN JOHN ASOKLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4216 24TH AVE STE 100, FORT GRATIOT, MI 48059-3880
(810) 984-8669
Mailing address
47351 BOBWHITE LN, SHELBY TWP, MI 48315-4825
(586) 747-6291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600889
MI
1223G0001X
General Practice Dentistry
D010778
AZ
Other
Enumeration date
07/29/2020
Last updated
06/01/2021
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