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Individual

DR. KANUPRIYA TEWARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
4807 BLANCHARD WAY, CHARLOTTE, NC 28226-0505
(617) 388-1510
Mailing address
96 TYLER ST APT 5, BOSTON, MA 02111-1827

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10929
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/10/2017
Last updated
10/21/2024
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