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Organization
GUPTA DENTAL CORPORATION
Active
Organization
GUPTA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUGAL KISHORE GUPTA (OWNER)
(909) 355-1485
Entity
Organization
Contact information
Practice address
11623 CHERRY AVE, SUITE B-2, FONTANA, CA 92337-1212
(909) 355-1485
(909) 355-2715
Mailing address
11623 CHERRY AVE, SUITE B-2, FONTANA, CA 92337-1212
(909) 355-1485
(909) 355-2715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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