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Jacqueline Kotula, Dds, Inc.
Dental Clinic/Center in San Rafael, California
NPI 1457008179

Jacqueline Kotula, Dds, Inc. is a Dental Clinic/Center based in San Rafael, CA and is specialized in Dental. Jacqueline Kotula, Dds, Inc. practices in San Rafael, CA. The NPI Number for Jacqueline Kotula, Dds, Inc. is 1457008179 and holds a License No. (California).

The current practice location address for Jacqueline Kotula, Dds, Inc. is 4050 Redwood Hwy Ste A, San Rafael, CA and can be reached out via phone at 415-499-7700.

Location: 4050 Redwood Hwy Ste A, San Rafael, CA, 94903-5149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457008179
Provider Name
Jacqueline Kotula, Dds, Inc.
Credential
Provider Entity Type
Organization
Address
4050 Redwood Hwy Ste A, San Rafael, CA, 94903-5149
Phone Number
415-499-7700
Fax Number
Provider Enumeration Date
03/02/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659682888 01 CA NPI 1
institution
Provider Business Practice Location Address Details
Address
4050 Redwood Hwy Ste A
City
San Rafael
State
California
Zip
94903-5149
Phone Number
415-499-7700
Fax Number
person
Provider Business Mailing Address Details
Address
4050 Redwood Hwy Ste A
City
San Rafael
State
California
Zip
94903-5149
Phone Number
415-499-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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