Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand River Family Dentistry PC

Organization General Practice Dentistry · NPI 1467401141

Grand River Family Dentistry PC is a 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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