Organization
SMILES OF TOMORROW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEVEN HENDERSON D.D.S. (VICE PRESIDENT)
(248) 431-4954
Entity
Organization
Contact information
Practice address
645 GRISWOLD ST, ST 224, DETROIT, MI 48226-4105
(734) 707-9115
Mailing address
1959 E 166TH PL, SOUTH HOLLAND, IL 60473-2666
(248) 431-4954
(708) 895-2161
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901017049
MI
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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