Gupta Dental Corporation

NPI #1689097107 in Fontana, California

Provider Information

NPI Number: 1689097107
Entity Type: Organization
Organization Name: Gupta Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Feb 4, 2014
Last Updated: Feb 4, 2014

Practice Location

Address: 11623 CHERRY AVE
Address 2: SUITE B-2
City: Fontana
State: California
ZIP Code: 92337-1212
Phone: (909) 355-1485

Authorized Official

Name: MR. JUGAL KISHORE GUPTA
Title: OWNER
Phone: (909) 355-1485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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