# DR. GUPTA'S & DR. GILL'S DENTAL OFFICE

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

## Provider details

- **NPI number:** 1851413975
- **Authorized official:** DR. JUGAL K. GUPTA D.D.S (OWNER)
- **Authorized official phone:** (909) 355-1485

## Contact information

- **Practice address:** 11623 CHERRY AVE, STE B-2, FONTANA, CA 92337-1212
- **Practice address phone:** (909) 355-1485
- **Practice address fax:** (909) 355-2715
- **Mailing address:** 11623 CHERRY AVE STE B-2, FONTANA, CA 92337-1212
- **Mailing address phone:** (909) 355-1485
- **Mailing address fax:** (909) 355-2715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 36370 | CA | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/22/2020
