Organization
THE DENTAL GROUP,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKIB HALABU (DENTIST)
(586) 465-6503
Entity
Organization
Contact information
Practice address
233 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043-2413
(586) 465-6503
Mailing address
233 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043-2413
(586) 465-6503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011201
MI
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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