| NPI | 1669656401 |
|---|---|
| Former Name | SWATHI R KUPPAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 14283) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2013-10-10 |