Individual
BASEL SHBIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13750 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 229-1916
Mailing address
31 W MAHAN AVE, HAZEL PARK, MI 48030-1152
(407) 766-6477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602147
MI
Other
Enumeration date
05/18/2024
Last updated
05/28/2024
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