Organization
SMILE FOREVER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANPREET CHAHAL DMD (OWNER)
(517) 223-3779
Entity
Organization
Contact information
Practice address
175 E VAN RIPER RD, BOX 945, FOWLERVILLE, MI 48836-8942
(517) 223-4496
Mailing address
175 E VAN RIPER RD, BOX 945, FOWLERVILLE, MI 48836-8942
(517) 223-4496
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901020130
MI
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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