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Individual
VENKATASUMAN KOPPURAVURI
Active
Individual
VENKATASUMAN KOPPURAVURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10067
SC
1223G0001X
General Practice Dentistry
10623
NC
1223G0001X
General Practice Dentistry
24699
TX
1223G0001X
General Practice Dentistry
30.023362
OH
Other
Enumeration date
07/07/2009
Last updated
05/19/2023
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