Organization
THE GRACEFUL SMILE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA KROHL (OFFICE MANAGER)
(734) 680-5772
Entity
Organization
Contact information
Practice address
49 E MAIN ST, MILAN, MI 48160-1476
(734) 508-7088
Mailing address
49 E MAIN ST, MILAN, MI 48160-1476
(734) 508-7088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598077414
—
MI
Enumeration date
07/29/2020
Last updated
07/29/2020
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