| NPI | 1114641305 |
|---|---|
| Doing Business As | SUPERIOR ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CRISTY MARIE ANDERSON Accounts Receiable 248-885-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |