Organization
NEW IMAGE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL THOMAS PERAINO D.D.S. (PRESIDENT)
(586) 727-1100
Entity
Organization
Contact information
Practice address
35000 DIVISION RD, SUITE4, RICHMOND, MI 48062-1566
(586) 727-1100
Mailing address
35000 DIVISION RD, SUITE4, RICHMOND, MI 48062-1566
(586) 727-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17688
MI
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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