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Organization
TINA GUPTA DDS PA II
Active
Organization
TINA GUPTA DDS PA II
Active
Other names
Smile Studio of Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA GUPTA DDS (DENTIST)
(252) 572-2520
Entity
Organization
Contact information
Practice address
451 RUIN CREEK RD, SUITE 201, HENDERSON, NC 27536-2878
(252) 572-2520
(252) 572-2527
Mailing address
451 RUIN CREEK RD, SUITE 201, HENDERSON, NC 27536-2878
(252) 572-2520
(252) 572-2527
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914161
—
NC
Enumeration date
10/21/2010
Last updated
10/21/2010
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