Professional Dental Alliance of Michigan, LLC

NPI #1851763387 in Garden City, Michigan

Provider Information

NPI Number: 1851763387
Entity Type: Organization
Organization Name: Professional Dental Alliance of Michigan, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2015
Last Updated: Oct 23, 2015

Practice Location

Address: 1658 MIDDLEBELT RD
City: Garden City
State: Michigan
ZIP Code: 48135-2879
Phone: (724) 698-2500

Authorized Official

Name: SHAKIB HALABU
Title: OWNER
Phone: (248) 397-1165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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