# ASTOUNDING BRIGHT CONFIDENT SMILES PC

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

## Provider details

- **NPI number:** 1871878793
- **Authorized official:** DR. CHARZETTA MOORE DDS (PRESIDENT)
- **Authorized official phone:** (248) 626-5222

## Contact information

- **Practice address:** 5848 APPLEWOOD, 1404, WEST BLOOMFIELD, MI 48322-3488
- **Practice address phone:** (248) 626-5222
- **Mailing address:** 14411 W 8 MILE RD, DETROIT, MI 48235-1619
- **Mailing address phone:** (248) 626-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901014832 | MI | Yes |

## Other

- **Enumeration date:** 10/12/2011
- **Last updated:** 10/12/2011