Provider Demographics
NPI:1841373297
Name:ASKARI, AZIZA FATIMA (DMD)
Entity type:Individual
Prefix:
First Name:AZIZA
Middle Name:FATIMA
Last Name:ASKARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41781 MITCHELL RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2899
Mailing Address - Country:US
Mailing Address - Phone:248-669-9443
Mailing Address - Fax:248-708-6786
Practice Address - Street 1:33966 W 8 MILE RD STE 104
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48335-5273
Practice Address - Country:US
Practice Address - Phone:248-474-6434
Practice Address - Fax:248-474-7125
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010187781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice