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Individual

DR. NAGESWARA RAO KOPURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BDS.,MS.

Contact information

Practice address
2555 W NEW HAVEN AVE, MELBOURNE, FL 32904-3701
(321) 728-9999
(321) 728-4925
Mailing address
726 HAWKSBILL ISLAND DR, SATELLITE BEACH, FL 32937-3851
(321) 427-3000
(321) 728-4925

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 10552
FL

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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