Provider Demographics
NPI:1447209077
Name:KIZY, MAZIN SABRI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAZIN
Middle Name:SABRI
Last Name:KIZY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 BURNINGBUSH DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-4526
Mailing Address - Country:US
Mailing Address - Phone:586-873-3287
Mailing Address - Fax:
Practice Address - Street 1:2720 BURNINGBUSH DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-4526
Practice Address - Country:US
Practice Address - Phone:586-873-3287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901017677122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist