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Organization

SUPERIOR ORTHODONTICS, LLC

Active
Find providers by NPI
Organization

SUPERIOR ORTHODONTICS, LLC

Active
Other names
Superior Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
CRISTY MARIE ANDERSON (ACCOUNTS RECEIABLE)
(248) 885-9177
Entity
Organization

Contact information

Practice address
6280 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-2321
(248) 862-6904
(248) 455-7071
Mailing address
6280 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-2321
(248) 862-6904
(248) 455-7071

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—

Other

Enumeration date
09/30/2022
Last updated
09/30/2022
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