| NPI | 1235354986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL THOMAS PERAINO President 586-727-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17688) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |