| Professional Dental Alliance Of Michigan, Llc | |
|
1658 Middlebelt Rd Garden City MI 48135-2879 | |
| (724) 698-2500 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Michigan, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1658 Middlebelt Rd, Garden City, Michigan |
| Authorized Official Name and Position | Shakib Halabu (OWNER) |
| Authorized Official Contact | 2483971165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Michigan, Llc 11 S Mill St Ste 200 New Castle PA 16101-3613 Ph: () - | Professional Dental Alliance Of Michigan, Llc 1658 Middlebelt Rd Garden City MI 48135-2879 Ph: (724) 698-2500 |
| NPI Number | 1851763387 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851763387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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