Diana Koppuzha, D.M.D.

NPI #1689035685 in Kyle, Texas

Provider Information

NPI Number: 1689035685
Entity Type: Individual
Name: Diana Koppuzha, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Mar 18, 2016
Last Updated: Jul 21, 2022

Practice Location

Address: 20389 INTERSTATE 35 STE 200
City: Kyle
State: Texas
ZIP Code: 78640-2039
Phone: (512) 256-8754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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