NPI 1710945308

Abraham Lawrence Azzouz, DDS

Practitioner Dental Assistant Detroit, MI

Practice location

Address: 24366 Grand River Ave Suite 111, Detroit, MI 48219-3063
Phone: (313) 535-2273
Fax: (313) 535-5212

Registered specialties (3)

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Michigan →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 2901015675 (MI)

Other Dentist providers in Michigan →

Dental Hygienist

Dental Providers Taxonomy 124Q00000X Licence 2902014138 (MI)

Other Dental Hygienist providers in Michigan →

Registry record

NPI: 1710945308
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.