Organization
BLUNN CREEK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNJUMARY JOHN KOLATHU DDS (OWNER)
(616) 920-4955
Entity
Organization
Contact information
Practice address
2550 S INTERSTATE 35 STE 210, AUSTIN, TX 78704-5724
(512) 442-6728
(512) 956-8919
Mailing address
2550 S INTERSTATE 35 STE 210, AUSTIN, TX 78704-5724
(512) 442-6728
(512) 956-8919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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