DR. Poonam G Gupta, DDS

NPI #1477696953 in Temperance, Michigan

Provider Information

NPI Number: 1477696953
Entity Type: Individual
Name: DR. Poonam G Gupta, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7960 LEWIS AVENUE
City: Temperance
State: Michigan
ZIP Code: 48182
Phone: (734) 847-9905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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