Provider Demographics
NPI:1861922908
Name:KOLATHU, KUNJUMARY JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:KUNJUMARY
Middle Name:JOHN
Last Name:KOLATHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:BLUNN CREEK FAMILY DENTISTRY
Mailing Address - Street 2:2550 S I-35 FRONTAGE RD # 210, AUSTIN, TX 78704
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704
Mailing Address - Country:US
Mailing Address - Phone:512-442-6728
Mailing Address - Fax:512-956-8919
Practice Address - Street 1:BLUNN CREEK FAMILY DENTISTRY
Practice Address - Street 2:2550 S I-35 FRONTAGE RD # 210, AUSTIN, TX 78704
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704
Practice Address - Country:US
Practice Address - Phone:512-442-6728
Practice Address - Fax:512-956-8919
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX329621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice