| Periodontic Pllc | |
|
33505 W 14 Mile Rd Suite 70 Farmington Hills MI 48331-1588 | |
| (248) 851-1034 | |
| (248) 851-7065 |
| Full Name | Periodontic Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 33505 W 14 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | David G Darany (PRESIDENT) |
| Authorized Official Contact | 3132748522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontic Pllc 22801 Newman St Dearborn MI 48124-2200 Ph: (313) 274-8522 | Periodontic Pllc 33505 W 14 Mile Rd Suite 70 Farmington Hills MI 48331-1588 Ph: (248) 851-1034 |
| NPI Number | 1629256094 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629256094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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