| NPI | 1578325924 |
|---|---|
| Doing Business As | SHOPTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | VENKATASUMAN KOPPURAVURI Dentist 937-475-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |