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
33505 W 14 MILE RD, SUITE 70, FARMINGTON HILLS, MI 48331-1588
(248) 851-1034
(248) 851-7065
Mailing address
22801 NEWMAN ST, DEARBORN, MI 48124-2200
(313) 274-8522
(313) 274-5396
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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