DR. Vandana Gupta, D.D.S

NPI #1689664286 in Centreville, Illinois

Provider Information

NPI Number: 1689664286
Entity Type: Individual
Name: DR. Vandana Gupta, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Oct 25, 2005
Last Updated: Dec 15, 2011

Practice Location

Address: 6000 BOND AVE
City: Centreville
State: Illinois
ZIP Code: 62207-2328
Phone: (618) 332-2740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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