Organization
GROWING SMILES-ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI ANN COSTELLO (MANAGER)
(586) 727-5500
Entity
Organization
Contact information
Practice address
51821 GRATIOT AVE, CHESTERFIELD, MI 48051-2014
(586) 727-5500
Mailing address
51821 GRATIOT AVE, CHESTERFIELD, MI 48051-2014
(586) 727-5500
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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