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Organization
DR NIDHI GUPTA DENTAL CORP
Active
Organization
DR NIDHI GUPTA DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDHI GUPTA DDS (CEO)
(408) 375-6814
Entity
Organization
Contact information
Practice address
352 DUTTON AVE, SAN LEANDRO, CA 94577-2806
(510) 532-2644
Mailing address
352 DUTTON AVE, SAN LEANDRO, CA 94577-2806
(510) 532-2644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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