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Individual

DR. GOPIKIRAN THOTA

Active
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Individual

DR. GOPIKIRAN THOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.022272
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0024679
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
24679
TX
208600000X
Surgery Physician
N4160
TX

Other

Enumeration date
05/08/2009
Last updated
01/07/2013
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