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Dr. Vikram Ganupur
General Practice Dentistry in Clovis, New Mexico
NPI 1104104512

Vikram Ganupur is a General Practice Dentistry based in Marietta, NM and is specialized in General Practice. Vikram Ganupur practices in Clovis, NM. The NPI Number for Vikram Ganupur is 1104104512 and holds a License No. DD3568 (New Mexico).

The current practice location address for Vikram Ganupur is 4017 N Prince St, Clovis, NM and can be reached out via phone at 847-915-3040. You can also correspond with Vikram Ganupur through the mailing address at 2610 WEDDINGTON RDG NE, MARIETTA, GA - 30068-2279 (mailing address contact number: 678-923-1486).

Location: 4017 N Prince St, Clovis, NM, 30068-2279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104104512
Provider Name
Vikram Ganupur
Credential
Provider Entity Type
Individual
Gender
Male
Address
4017 N Prince St, Clovis, NM, 30068-2279
Phone Number
847-915-3040
Fax Number
Provider Enumeration Date
08/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4017 N Prince St
City
Clovis
State
New Mexico
Zip
88101-9705
Phone Number
847-915-3040
Fax Number
person
Provider Business Mailing Address Details
Address
4017 N Prince St
City
Clovis
State
New Mexico
Zip
88101-9705
Phone Number
847-915-3040
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DD3568 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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