Individual
DR. ANASS KOLEILAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
32316 5 MILE RD, LIVONIA, MI 48154-6109
(734) 523-8300
Mailing address
120 MEYER RD APT 622, AMHERST, NY 14226-1015
(716) 544-6161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901601126
MI
1223P0300X
Periodontics
Primary
2901601126
MI
Other
Enumeration date
08/28/2021
Last updated
10/21/2021
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