Individual
DR. MALLIKA RUPANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2924 E FRANKLIN BLVD, SUITE #3, GASTONIA, NC 28056-9448
(704) 867-0453
Mailing address
2924 E FRANKLIN BLVD, SUITE #3, GASTONIA, NC 28056-9448
(704) 867-0453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10167
NC
Other
Enumeration date
07/27/2015
Last updated
08/03/2015
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