Provider Demographics
NPI:1801253448
Name:KALAI KARI FAMILY DENTISTRY PLLC
Entity type:Organization
Organization Name:KALAI KARI FAMILY DENTISTRY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KALAISELVI
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIVALAVAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-482-1356
Mailing Address - Street 1:30789 MILFORD RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165-8596
Mailing Address - Country:US
Mailing Address - Phone:734-262-6968
Mailing Address - Fax:
Practice Address - Street 1:30789 MILFORD RD
Practice Address - Street 2:SUITE #F
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-8596
Practice Address - Country:US
Practice Address - Phone:734-262-6968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty