Organization
JACQUELINE KOTULA, DDS, INC.
Active
Other names
Marin Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE KOTULA DDS (OWNER)
(415) 499-7700
Entity
Organization
Contact information
Practice address
4050 REDWOOD HWY STE A, SAN RAFAEL, CA 94903-5149
(415) 499-7700
Mailing address
4050 REDWOOD HWY STE A, SAN RAFAEL, CA 94903-5149
(415) 499-7700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659682888
NPI 1
CA
Enumeration date
03/02/2022
Last updated
03/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us