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Organization
TINA GUPTA DDS PA
Active
Organization
TINA GUPTA DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA GUPTA DDS (OWNER/DENTIST)
(252) 572-2520
Entity
Organization
Contact information
Practice address
700 EXPOSITION PL, STE 111, RALEIGH, NC 27615-1560
(919) 518-0400
(919) 518-0410
Mailing address
700 EXPOSITION PL, STE 111, RALEIGH, NC 27615-1560
(919) 518-0400
(919) 518-0410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8300
NC
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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