Individual
DR. DAVID TODD BANOONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 N CANTON CENTER RD, CANTON, MI 48187-2901
(734) 844-1300
Mailing address
1971 LONG LAKE SHORE DR, BLOOMFIELD HILLS, MI 48302-1238
(248) 978-7962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022615
MI
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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