Chase Kotula Dental Partnership
NPI #1154669190 in San Rafael, California
Provider Information
- NPI Number
- 1154669190
- Entity Type
- Organization
- Organization Name
- Chase Kotula Dental Partnership
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 25, 2013
- Last Updated
- Jan 25, 2013
Practice Location
- Address
- 4050 REDWOOD HWY
- Address 2
- SUITE A
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-5149
- Phone
- (415) 499-7700
Authorized Official
- Name
- DR. JACQUELINE MARGARET KOTULA, DDS
- Title
- DOCTOR
- Phone
- (415) 265-4115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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