Organization
AVANTHI KOPURI, DMD, MSD, MHA, PLLC
Active
Other names
Central Florida Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVANTHI KOPURI DMD, MSD, MHA (PRESIDENT)
(305) 788-4415
Entity
Organization
Contact information
Practice address
3010 S FISKE BLVD, ROCKLEDGE, FL 32955-4302
(321) 638-4455
(321) 638-1203
Mailing address
3010 S FISKE BLVD, ROCKLEDGE, FL 32955-4302
(321) 638-4455
(321) 638-1203
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
P00000094134
FL
Other
Enumeration date
10/13/2014
Last updated
08/28/2020
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