Organization
ADVANCED WARREN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKIB HALABU D.D.S (DENTIST)
(586) 755-4310
Entity
Organization
Contact information
Practice address
27600 HOOVER RD, WARREN, MI 48093-7721
(586) 755-4310
Mailing address
27600 HOOVER RD, WARREN, MI 48093-7721
(586) 755-4310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011201
MI
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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