Organization
SANILAC FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISHAM KALOTI DDS (DENIST/OWNER)
(419) 866-2400
Entity
Organization
Contact information
Practice address
749 N SANDUSKY RD, SANDUSKY, MI 48471-9143
(810) 648-3224
(810) 648-4411
Mailing address
3210 BRIARFIELD BLVD, MAUMEE, OH 43537-9501
(419) 866-2400
(419) 866-5320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17451
MI
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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