Organization
BOW TIE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAMS (OWNER)
(313) 530-7096
Entity
Organization
Contact information
Practice address
2677 ELIZABETH LAKE RD STE 203, WATERFORD, MI 48328-3290
(248) 682-8811
Mailing address
2677 ELIZABETH LAKE RD STE 203, WATERFORD, MI 48328-3290
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/27/2023
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