Organization
PHILLIP D KOTHMANN DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP DWIGHT KOTHMANN DDS MS (PRESIDENT OF CORPORATION)
(325) 942-9673
Entity
Organization
Contact information
Practice address
4337 COLLEGE HILLS BLVD, SAN ANGELO, TX 76904
(325) 942-9673
(325) 942-0369
Mailing address
4337 COLLEGE HILLS BLVD, SAN ANGELO, TX 76904
(325) 942-9673
(325) 942-0369
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11462
TX
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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