# GROWING SMILES-ORTHODONTICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265176085
- **Authorized official:** MS. TONI ANN COSTELLO (MANAGER)
- **Authorized official phone:** (586) 727-5500

## Contact information

- **Practice address:** 51821 GRATIOT AVE, CHESTERFIELD, MI 48051-2014
- **Practice address phone:** (586) 727-5500
- **Mailing address:** 51821 GRATIOT AVE, CHESTERFIELD, MI 48051-2014
- **Mailing address phone:** (586) 727-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2022
- **Last updated:** 04/27/2022
