Sugandha Gupta

NPI #1124631650 in Beaverton, Oregon

Provider Information

NPI Number: 1124631650
Entity Type: Individual
Name: Sugandha Gupta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 25, 2020
Last Updated: Aug 25, 2020

Practice Location

Address: 2561 NW 167TH AVE
City: Beaverton
State: Oregon
ZIP Code: 97006-7643
Phone: (213) 421-2537

Specialties & Taxonomy Codes

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

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