Organization
KOPPURAVURI DDS PLLC
Active
Other names
SHOPTON DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATASUMAN KOPPURAVURI DDS (DENTIST)
(937) 475-9057
Entity
Organization
Contact information
Practice address
4847 SHOPTON RD STE C-D, CHARLOTTE, NC 28278-6747
(704) 444-0772
Mailing address
8938 TREMONT RIDGE CT, CHARLOTTE, NC 28277-6200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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