Ace Dental02

NPI #1811353881 in Killeen, Texas

Provider Information

NPI Number: 1811353881
Entity Type: Organization
Organization Name: Ace Dental02
Primary Specialty: Dentist
Enumeration Date: Jan 6, 2016
Last Updated: Jan 6, 2016

Practice Location

Address: 3650 W STAN SCHLUETER LOOP
City: Killeen
State: Texas
ZIP Code: 76549-3677
Phone: (201) 925-0210

Authorized Official

Name: ADITI GUPTA, DDS
Title: OWNER/PROVIDER
Phone: (201) 925-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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