# THE DENTAL GROUP,P.C

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

## Provider details

- **NPI number:** 1992014815
- **Authorized official:** DR. SHAKIB HALABU (DENTIST)
- **Authorized official phone:** (586) 465-6503

## Contact information

- **Practice address:** 233 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043-2413
- **Practice address phone:** (586) 465-6503
- **Mailing address:** 233 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043-2413
- **Mailing address phone:** (586) 465-6503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901011201 | MI | Yes |

## Other

- **Enumeration date:** 09/27/2010
- **Last updated:** 09/27/2010
