Individual
DR. SALLY KOTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3131 44TH ST SW, GRANDVILLE, MI 49418-2684
(616) 531-3430
Mailing address
3131 44TH ST SW, GRANDVILLE, MI 49418-2684
(616) 531-3430
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19049
MI
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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