Individual
DR. KRUPA JANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3001 RALEIGH ROAD PKWY W STE B, WILSON, NC 27896-8213
(252) 293-4469
Mailing address
3613 EAGLE POINT LN, WILSON, NC 27896-7395
(199) 359-7439
(866) 570-5630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027091
IL
1223G0001X
General Practice Dentistry
12794
NC
1223P0221X
Pediatric Dentistry
Primary
12794
NC
Other
Enumeration date
04/26/2007
Last updated
10/10/2022
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