# ACE DENTAL03 PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720443161
- **Authorized official:** ADITI GUPTA (OWNER/PROVIDER)
- **Authorized official phone:** (201) 925-0210

## Contact information

- **Practice address:** 100 CARLOS G. PARKER BLVD, 110, TAYLOR, TX 76574
- **Practice address phone:** (201) 925-0210
- **Mailing address:** 100 CARLOS G. PARKER BLVD, 110, TAYLOR, TX 76574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 29291 | TX | Yes |

## Other

- **Enumeration date:** 12/30/2015
- **Last updated:** 12/30/2015