Professional Dental Alliance Of Michigan, Llc
May also be knows as Dental Care Of Michigan, Hazel Park
Dentist in Hazel Park, MI(View on Map)
Legal Business Name
Professional Dental Alliance Of Michigan, Llc
Also Known As
Dental Care Of Michigan, Hazel Park
NPI Number
1912389842
NPI Type
Organization
Enumeration Date
06/27/2015
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
2901011201
Contact
Information
Purpose
Mailing
Location
Address
23528 JOHN R RD
23528 JOHN R RD
City
Hazel Park
Hazel Park
State
MI
MI
Postal Code
48030-1409
48030-1409
Country
US
US
Telephone Number
(248) 397-1165
(248) 397-1165
Authorized Official
Name
Dr. Shakib Halabu
Title or Position
DENTIST
Telephone Number
(248) 397-1165
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/27/2015
Provider Address
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