Organization
ROSS ROUPAS BURD & SULLIVAN DDS PLLC
Active
Other names
Monroe Family Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANASTASI J. ROUPAS DMD (PARTNER / ORGANIZER)
(704) 568-8010
Entity
Organization
Contact information
Practice address
901 OAK FOREST DR, MONROE, NC 28112-5146
(704) 568-8010
Mailing address
5833 PHYLISS LN, MINT HILL, NC 28227-9031
(704) 568-8010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6304
NC
122300000X
Dentist
8215
NC
1223G0001X
General Practice Dentistry
4121
NC
1223G0001X
General Practice Dentistry
5545
NC
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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