Sura Alazzawi

NPI #1497435036 in Grosse Pointe Woods, Michigan

Provider Information

NPI Number: 1497435036
Entity Type: Individual
Name: Sura Alazzawi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 19, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 20731 VIRGINIA LN
City: Grosse Pointe Woods
State: Michigan
ZIP Code: 48236-1407
Phone: (781) 215-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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