Organization
SUPERIOR ORTHODONTICS, LLC
Active
Other names
Superior Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTY MARIE ANDERSON (ACCOUNTS RECEIABLE)
(248) 885-9177
Entity
Organization
Contact information
Practice address
6280 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-2321
(248) 862-6904
(248) 455-7071
Mailing address
6280 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-2321
(248) 862-6904
(248) 455-7071
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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