Individual
ASHOK K KOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3811 PEARL LAKE LN, SUGAR LAND, TX 77479-4883
(832) 202-9153
Mailing address
3811 PEARL LAKE LN, SUGAR LAND, TX 77479-4883
(832) 202-9153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9261
MA
1223G0001X
General Practice Dentistry
0401413537
VA
1223P0700X
Prosthodontics
30648
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30648
TX
Other
Enumeration date
01/02/2007
Last updated
02/19/2024
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