NPI | 1154619583 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID G DARANY President 248-851-1034 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MI 2901015315) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2013-03-14 |