| Dental Care Of Michigan, Hazel Park | |
|
23528 John R Rd Hazel Park MI 48030-1409 | |
| (248) 397-1165 | |
| Not Available |
| Full Name | Dental Care Of Michigan, Hazel Park |
|---|---|
| Speciality | Dentist |
| Location | 23528 John R Rd, Hazel Park, Michigan |
| Authorized Official Name and Position | Shakib Halabu (DENTIST) |
| Authorized Official Contact | 2483971165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Michigan, Hazel Park 23528 John R Rd Hazel Park MI 48030-1409 Ph: (248) 397-1165 | Dental Care Of Michigan, Hazel Park 23528 John R Rd Hazel Park MI 48030-1409 Ph: (248) 397-1165 |
| NPI Number | 1912389842 |
|---|---|
| Provider Enumeration Date | 06/27/2015 |
| Last Update Date | 06/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912389842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901011201 (Michigan) | Primary |
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