Organization
PERIODONTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G DARANY D.D.S., M.S. (PRESIDENT)
(248) 851-1034
Entity
Organization
Contact information
Practice address
40400 E. ANN ARBOR RD., SUITE 204A, PLYMOUTH, MI 48170
(734) 459-4077
(734) 459-4084
Mailing address
22801 NEWMAN ST., DEARBORN, MI 48124-1740
(313) 274-8522
(313) 274-5396
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901015315
MI
Other
Enumeration date
07/19/2011
Last updated
03/14/2013
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