Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grand River Family Dentistry PC

Organization General Practice Dentistry · NPI 1467401141

Grand River Family Dentistry PC provides General Practice Dentistry in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24366 Grand River Ave Ste 111
Detroit, MI 48219-3063
Phone: (313) 535-2273
Fax: (313) 535-5212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901015675 (MI)

Record details

NPI number1467401141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abraham Azzouz — President Dentist · (313) 535-2273
NPI enumeratedMay 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address24366 Grand River Ave, Suite 111, Detroit, MI 48219-3063

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