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Organization
SUPERIOR SMILES
Active
Organization
SUPERIOR SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ANN HEBNER (OFFICE MANAGER)
(906) 482-3621
Entity
Organization
Contact information
Practice address
1550 WEST QUINCY ST, HANCOCK, MI 49930
(906) 482-3621
(906) 482-3676
Mailing address
PO BOX 150, HANCOCK, MI 49931
(906) 482-3621
(906) 482-3676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4930642
—
MI
Enumeration date
06/30/2010
Last updated
06/30/2010
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