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Organization
PORTABLE SMILES CONSULTING LLC
Active
Organization
PORTABLE SMILES CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STERLING CHEEKS (OWNER)
(734) 260-2601
Entity
Organization
Contact information
Practice address
41962 TRENT CT, CANTON, MI 48188-5208
(734) 260-2601
Mailing address
41962 TRENT CT, CANTON, MI 48188-5208
(734) 260-2601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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