Organization
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Active
Other names
Dental Care of Michigan, Garden City
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIB HALABU (OWNER)
(248) 397-1165
Entity
Organization
Contact information
Practice address
1658 MIDDLEBELT RD, GARDEN CITY, MI 48135-2879
(724) 698-2500
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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