| Maa Cotulla Dental | |
|
649 Las Palmas Blvd Ste 8 Cotulla TX 78014-3209 | |
| (661) 618-4215 | |
| Not Available |
| Full Name | Maa Cotulla Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 649 Las Palmas Blvd Ste 8, Cotulla, Texas |
| Authorized Official Name and Position | Venkata Rajesh Kumar Pasupuleti (OWNER) |
| Authorized Official Contact | 6616184215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maa Cotulla Dental 649 Las Palmas Blvd Ste 8 Cotulla TX 78014-3209 Ph: (661) 618-4215 | Maa Cotulla Dental 649 Las Palmas Blvd Ste 8 Cotulla TX 78014-3209 Ph: (661) 618-4215 |
| NPI Number | 1831982248 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831982248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Cotulla Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 649 Las Palmas Blvd Ste 8/9, Cotulla, TX 78014 Phone: 830-483-1590 |