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Organization

KOPURI ORTHODONTIST PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. N RAO KOPURI B.D.S.,M.S. (PRESIDENT)
(321) 427-3000
Entity
Organization

Contact information

Practice address
7534 UNIVERSITY BLVD, WINTER PARK, FL 32792-8824
(407) 672-0030
Mailing address
726 HAWKSBILL ISLAND DR, SATELLITE BEACH, FL 32937-3851
(321) 427-3000

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 10552
FL

Other

Enumeration date
05/04/2011
Last updated
05/04/2011
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