DR. Vikram Ganupur
NPI #1104104512 in Clovis, New Mexico
Provider Information
- NPI Number
- 1104104512
- Entity Type
- Individual
- Name
- DR. Vikram Ganupur
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 2, 2011
- Last Updated
- Aug 2, 2011
Practice Location
- Address
- 4017 N PRINCE ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-9705
- Phone
- (847) 915-3040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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