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Individual

DR. RICHARD MICHAEL CHUPKOWSKI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2300 RAMSEY ST, VAMC - DENTAL CLINIC, FAYETTEVILLE, NC 28301-3856
(910) 822-7030
Mailing address
6515 COUNTRYSIDE DR, FAYETTEVILLE, NC 28311-1175
(910) 488-1371

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
0401-008132
VA
1223P0700X
Prosthodontics
12648
NJ
1223P0700X
Prosthodontics
21905
PA
1223P0700X
Prosthodontics
32607
NY
1223P0700X
Prosthodontics
Primary
6325
NC

Other

Enumeration date
05/28/2006
Last updated
07/08/2007
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