Mark Anthony Azzopardi, DDS Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Novi, MI

NPI

1710063631

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

2901013122 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-31

Last updated

2007-07-08