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Organization

PERIODONTIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID G DARANY DDS, MS (PRESIDENT)
(313) 274-8522
Entity
Organization

Contact information

Practice address
3589 FORT ST, WYANDOTTE, MI 48192-6315
(734) 281-1414
Mailing address
22801 NEWMAN ST., DEARBORN, MI 48124-1740
(313) 274-8522

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
02/07/2008
Last updated
03/14/2013
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