Individual
KATIE CAROL KOTZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 E BROAD STREET, STE. 120, MANSFIELD, TX 76063
(214) 828-8215
Mailing address
3300 E BROAD STREET, STE. 120, MANSFIELD, TX 76063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39688
TX
Other
Enumeration date
03/06/2023
Last updated
06/13/2023
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