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Dr. Sally Kotani, DDS
Pediatric Dentist in Grandville, Michigan
NPI 1316960214

Sally Kotani is a Pediatric Dentist based in Grandville, MI and is specialized in Pediatric Dentistry. Sally Kotani practices in Grandville, MI and has the professional credentials of DDS. The NPI Number for Sally Kotani is 1316960214 and holds a License No. 19049 (Michigan).

The current practice location address for Sally Kotani is 3131 44Th St Sw, Grandville, MI and can be reached out via phone at 616-531-3430.

Location: 3131 44Th St Sw, Grandville, MI, 49418-2684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316960214
Provider Name
Sally Kotani
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3131 44Th St Sw, Grandville, MI, 49418-2684
Phone Number
616-531-3430
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3131 44Th St Sw
City
Grandville
State
Michigan
Zip
49418-2684
Phone Number
616-531-3430
Fax Number
person
Provider Business Mailing Address Details
Address
3131 44Th St Sw
City
Grandville
State
Michigan
Zip
49418-2684
Phone Number
616-531-3430
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
19049 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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