Individual
KAYLA GRACE KOPCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS,MS
Contact information
Practice address
411 BILLINGSLEY RD STE 106, CHARLOTTE, NC 28211-1066
(704) 901-8399
Mailing address
411 BILLINGSLEY RD STE 106, CHARLOTTE, NC 28211-1066
(704) 901-8399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026752
OH
1223P0221X
Pediatric Dentistry
Primary
12371
NC
1223P0221X
Pediatric Dentistry
30.026752
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482787
—
OH
Enumeration date
02/21/2021
Last updated
01/28/2024
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