Organization
SUPERIOR FAMILY SMILES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHAWN KOLE-JAMES (OWNER)
(313) 282-5651
Entity
Organization
Contact information
Practice address
6280 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-2321
(313) 282-5651
Mailing address
6280 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-2321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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