Provider Demographics
NPI:1891074217
Name:LINDA DARIAN
Entity Type:Organization
Organization Name:LINDA DARIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D. D. S.
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-932-1280
Mailing Address - Street 1:31390 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2561
Mailing Address - Country:US
Mailing Address - Phone:248-932-1280
Mailing Address - Fax:248-932-9790
Practice Address - Street 1:31390 NORTHWESTERN HWY
Practice Address - Street 2:SUITE F
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2561
Practice Address - Country:US
Practice Address - Phone:248-932-1280
Practice Address - Fax:248-932-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14064332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment