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Vikram Ganupur
NPI 1104104512 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4017 N Prince St
Clovis, NM 88101 - Phone
- (847) 915-3040
- Organisation at this address
- Familia Dentalclovis Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico