Individual
SAURABH UPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 EXECUTIVE DR, LAFAYETTE, IN 47905-4878
(765) 300-4116
Mailing address
2 EXECUTIVE DR, LAFAYETTE, IN 47905-4878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013979A
IN
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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