Periodontic Pllc | |
22801 Newman St. Dearborn MI 48124-1740 | |
(313) 274-8522 | |
Not Available |
Full Name | Periodontic Pllc |
---|---|
Speciality | Dentist - Periodontics |
Location | 22801 Newman St., Dearborn, Michigan |
Authorized Official Name and Position | David G Darany (PRESIDENT) |
Authorized Official Contact | 3132748522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Periodontic Pllc 22801 Newman St. Dearborn MI 48124-1740 Ph: (313) 274-8522 | Periodontic Pllc 22801 Newman St. Dearborn MI 48124-1740 Ph: (313) 274-8522 |
NPI Number | 1598943052 |
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Provider Enumeration Date | 02/07/2008 |
Last Update Date | 03/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598943052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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