| Advance Dental Group P.c. | |
|
33466 W 8 Mile Rd Suite333 Farmington Hills MI 48335-5208 | |
| (248) 442-2273 | |
| (242) 442-9499 |
| Full Name | Advance Dental Group P.c. |
|---|---|
| Speciality | Dental Hygienist |
| Location | 33466 W 8 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Abraham L Azzouz (DENTIST) |
| Authorized Official Contact | 2484422273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Dental Group P.c. 33466 W 8 Mile Rd Suite333 Farmington Hills MI 48335-5208 Ph: (248) 442-2273 | Advance Dental Group P.c. 33466 W 8 Mile Rd Suite333 Farmington Hills MI 48335-5208 Ph: (248) 442-2273 |
| NPI Number | 1750597894 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750597894 | NPI | - | NPPES |
| D15675 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901015675 (Michigan) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |
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