# SANILAC FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558455592
- **Authorized official:** DR. HISHAM KALOTI DDS (DENIST/OWNER)
- **Authorized official phone:** (419) 866-2400

## Contact information

- **Practice address:** 749 N SANDUSKY RD, SANDUSKY, MI 48471-9143
- **Practice address phone:** (810) 648-3224
- **Practice address fax:** (810) 648-4411
- **Mailing address:** 3210 BRIARFIELD BLVD, MAUMEE, OH 43537-9501
- **Mailing address phone:** (419) 866-2400
- **Mailing address fax:** (419) 866-5320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 17451 | MI | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020