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Organization

PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC

Active
Other names
Dental Care of Michigan, Hazel Park
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAKIB HALABU (DENTIST)
(248) 397-1165
Entity
Organization

Contact information

Practice address
23528 JOHN R RD, HAZEL PARK, MI 48030-1409
(248) 397-1165
Mailing address
23528 JOHN R RD, HAZEL PARK, MI 48030-1409
(248) 397-1165

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011201
MI

Other

Enumeration date
06/27/2015
Last updated
06/27/2015
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