ANASS KOLEILAT

LIVONIA, MI
NPI1245907070
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MI  2901601126)
Additional Taxonomies122300000X Dentist
(Licence: MI  2901601126)
Enumeration Date2021-08-28
Last Update Date2021-10-21
Business Address
Dr. ANASS KOLEILAT DDS,MS
32316 5 MILE RD
LIVONIA, MI 48154-6109
Phone number: 734-523-8300
Mailing Address
Dr. ANASS KOLEILAT DDS,MS
120 MEYER RD APT 622
AMHERST, NY 14226-1015
Phone number: 716-544-6161