Kopuri Orthodontist PA

NPI #1417249855 in Eustis, Florida

Provider Information

NPI Number: 1417249855
Entity Type: Organization
Organization Name: Kopuri Orthodontist PA
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 2900 DAVID WALKER DR
City: Eustis
State: Florida
ZIP Code: 32726-6177
Phone: (352) 589-5558

Authorized Official

Name: DR. N RAO KOPURI, B.D.S.,M.S.
Title: PRESIDENT
Phone: (321) 427-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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