Koppuzha, Diana
Koppuzha, Diana is an individual health care provider with primary practice located at 20389 Interstate 35 Ste 200 , Kyle TX 78640-2039. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Koppuzha, Diana can be contacted via phone (512) 256-8754.Contact Information
Primary practice address
20389 Interstate 35 Ste 200
Kyle TX 78640-2039
Phone: (512) 256-8754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 33222 | Texas |
Profile Details
| NPI number | 1689035685 |
|---|---|
| LBN Legal business name | Koppuzha, Diana |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2016 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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