Individual
BRIAN KUPCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8930 BROWN DRIVE HOSPITAL DENTISTRY BLDG 9, 2ND FLOOR, BETHESDA, MD 20889-0001
(860) 967-6609
Mailing address
10501 MONTROSE AVE APT 204, BETHESDA, MD 20814-4141
(860) 967-6609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14052
CT
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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