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Organization
PREETIKA GUPTA DDS PC
Active
Organization
PREETIKA GUPTA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREETIKA GUPTA DDS (DDS)
(631) 643-3800
Entity
Organization
Contact information
Practice address
1521 STRAIGHT PATH, WYANDANCH, NY 11798-3436
(631) 643-3800
(631) 253-4292
Mailing address
1521 STRAIGHT PATH, WYANDANCH, NY 11798-3436
(631) 643-3800
(631) 253-4292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054641
LICENSE
NY
Enumeration date
09/25/2013
Last updated
09/25/2013
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