| NPI | 1861586992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HISHAM KALOTI Dentist/ Owner 419-866-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21376) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |