Individual
GRACE ELIZABETH KAPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
385 S COLUMBIA ST, CHAPEL HILL, NC 27599-5021
(919) 537-3942
Mailing address
4501 KRUEGER CT, LONG GROVE, IL 60047-5266
(847) 400-6943
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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