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Koppuravuri Dds Pllc
Dental Clinic/Center in Charlotte, North Carolina
NPI 1578325924

Koppuravuri Dds Pllc is a Dental Clinic/Center based in Charlotte, NC and is specialized in Dental. Koppuravuri Dds Pllc practices in Charlotte, NC. The NPI Number for Koppuravuri Dds Pllc is 1578325924 and holds a License No. (North Carolina).

The current practice location address for Koppuravuri Dds Pllc is 4847 Shopton Rd Ste C-D, Charlotte, NC and can be reached out via phone at 704-444-0772.

Location: 4847 Shopton Rd Ste C-D, Charlotte, NC, 28277-6200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578325924
Provider Name
Koppuravuri Dds Pllc
Credential
Provider Entity Type
Organization
Address
4847 Shopton Rd Ste C-D, Charlotte, NC, 28277-6200
Phone Number
704-444-0772
Fax Number
Provider Enumeration Date
01/30/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4847 Shopton Rd Ste C-D
City
Charlotte
State
North Carolina
Zip
28278-6747
Phone Number
704-444-0772
Fax Number
person
Provider Business Mailing Address Details
Address
4847 Shopton Rd Ste C-D
City
Charlotte
State
North Carolina
Zip
28278-6747
Phone Number
704-444-0772
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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