Gupta's Dental Office

NPI #1992945893 in Fontana, California

Provider Information

NPI Number: 1992945893
Entity Type: Organization
Organization Name: Gupta's Dental Office
Primary Specialty: Dentist
Enumeration Date: Mar 5, 2009
Last Updated: Mar 5, 2009

Practice Location

Address: 11623 CHERRY AVE STE B2
City: Fontana
State: California
ZIP Code: 92337-1212
Phone: (909) 355-1485

Authorized Official

Name: DR. JUGAL KISHORE GUPTA, D.D.S.
Title: DENTIST/OWNER
Phone: (909) 355-1485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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