| N.rao Kopuri, Bds.,ms.,pa. | |
|
780 E Merritt Island Cswy Suite 6 C Merritt Island FL 32952-3562 | |
| (321) 453-5833 | |
| (321) 453-3633 |
| Full Name | N.rao Kopuri, Bds.,ms.,pa. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 780 E Merritt Island Cswy, Merritt Island, Florida |
| Authorized Official Name and Position | N Rao Kopuri (PRESIDENT) |
| Authorized Official Contact | 3214273000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N.rao Kopuri, Bds.,ms.,pa. 780 E Merritt Island Cswy Suite 6 C Merritt Island FL 32952-3562 Ph: (321) 453-5833 | N.rao Kopuri, Bds.,ms.,pa. 780 E Merritt Island Cswy Suite 6 C Merritt Island FL 32952-3562 Ph: (321) 453-5833 |
| NPI Number | 1972627438 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972627438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | P00000094134 (Florida) | Primary |
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