| New Image Dental, P.c. | |
|
35000 Division Rd Suite4 Richmond MI 48062-1566 | |
| (586) 727-1100 | |
| Not Available |
| Full Name | New Image Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35000 Division Rd, Richmond, Michigan |
| Authorized Official Name and Position | Daryl Thomas Peraino (PRESIDENT) |
| Authorized Official Contact | 5867271100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dental, P.c. 35000 Division Rd Suite4 Richmond MI 48062-1566 Ph: (586) 727-1100 | New Image Dental, P.c. 35000 Division Rd Suite4 Richmond MI 48062-1566 Ph: (586) 727-1100 |
| NPI Number | 1235354986 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235354986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17688 (Michigan) | Primary |
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