Provider Demographics
NPI:1245537125
Name:KALNIZ CHOKSEY ENTERPRISES, LLC
Entity type:Organization
Organization Name:KALNIZ CHOKSEY ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:B
Authorized Official - Last Name:KALNIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-724-1758
Mailing Address - Street 1:4210 W SYLVANIA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4501
Mailing Address - Country:US
Mailing Address - Phone:419-724-1758
Mailing Address - Fax:888-241-1863
Practice Address - Street 1:4210 W SYLVANIA AVE STE 201
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4501
Practice Address - Country:US
Practice Address - Phone:419-724-1758
Practice Address - Fax:888-241-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300220271223G0001X
OH300208571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4210OtherADDRESS