IndividualActive
Abraham Azzouz, D.D.S.
NPI 1710945308 · Dental Assistant · Detroit, MI
Provider details
- NPI number
- 1710945308
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 2901015675 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
24366 Grand River Ave
Suite 111
Detroit, MI 48219-3063
Phone: (313) 535-2273
Fax: (313) 535-5212
Approximate (ZIP-level) locationGet directions
Mailing address
24366 Grand River Ave
Detroit, MI 48219-3063
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.