Provider Demographics
NPI:1780962860
Name:KULIC, KATYA (DDS)
Entity type:Individual
Prefix:DR
First Name:KATYA
Middle Name:
Last Name:KULIC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9655 KATY FWY STE 160
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1386
Mailing Address - Country:US
Mailing Address - Phone:281-888-0921
Mailing Address - Fax:
Practice Address - Street 1:9655 KATY FWY STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1383
Practice Address - Country:US
Practice Address - Phone:281-888-0921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-24
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX272561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice