# CANTON FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427352178
- **Authorized official:** DR. SHAKIB HALABU (DENTIST)
- **Authorized official phone:** (248) 231-5550

## Contact information

- **Practice address:** 44968 FORD ROAD, SUITE R, CANTON TOWNSHIP, MI 48187
- **Practice address phone:** (248) 231-5550
- **Practice address fax:** (248) 855-3824
- **Mailing address:** 44968 FORD ROAD, SUITE R, CANTON TOWNSHIP, MI 48187
- **Mailing address phone:** (248) 231-5550
- **Mailing address fax:** (248) 855-3824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2011
- **Last updated:** 01/10/2011
