Organization
AVANTHI KOPURI, DMD, MSD, MHA, PLLC
Active
Other names
Central Florida Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVANTHI KOPURI DMD, MSD (PRESIDENT)
(305) 788-4415
Entity
Organization
Contact information
Practice address
2555 W NEW HAVEN AVE, MELBOURNE, FL 32904-3701
(321) 728-9999
(321) 728-5925
Mailing address
10322 KENSINGTON SHORE DR, ORLANDO, FL 32827-7307
(305) 788-4415
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/01/2020
Last updated
01/01/2020
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