GRAND RIVER FAMILY DENTISTRY P.C. NPI 1467401141

NPI Information

GRAND RIVER FAMILY DENTISTRY P.C. is a general practice dentist in Detroit, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GRAND RIVER FAMILY DENTISTRY P.C. NPI is 1467401141. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24366 GRAND RIVER AVE
SUITE 111
DETROIT, MI
ZIP 48219-063
Phone: (313) 535-2273
Fax: (313) 535-5212

The provider's authorized official is Abraham Lawrence Azzouz .
The authorized official title is President Dentist and has the following contact phone number (313) 535-2273.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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