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Organization
KALLI DENTAL PLLC
Active
Organization
KALLI DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN KALLABAT DMD (DENTIST)
(248) 504-1881
Entity
Organization
Contact information
Practice address
363 W 12 MILE RD, MADISON HEIGHTS, MI 48071-2403
(248) 504-1881
Mailing address
363 W 12 MILE RD, MADISON HEIGHTS, MI 48071-2403
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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