Individual
ANUSHA KOTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2810 DACY LN, KYLE, TX 78640-6322
(210) 233-7000
(210) 625-5689
Mailing address
2810 DACY LN, KYLE, TX 78640-6322
(210) 233-7000
(210) 625-5689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35562
TX
Other
Enumeration date
06/02/2017
Last updated
09/18/2025
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