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Organization
GUPTA'S DENTAL OFFICE
Active
Organization
GUPTA'S DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUGAL KISHORE GUPTA D.D.S. (DENTIST/OWNER)
(909) 355-1485
Entity
Organization
Contact information
Practice address
11623 CHERRY AVE STE B2, FONTANA, CA 92337-1212
(909) 355-1485
(909) 355-2715
Mailing address
11623 CHERRY AVE STE B2, FONTANA, CA 92337-1212
(909) 355-1485
(909) 355-2715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36370
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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