Individual
SHILPI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7522 LEE DAVIS RD, MECHANICSVILLE, VA 23111-3603
(804) 559-1016
Mailing address
12120 LIESFELD POND DR, GLEN ALLEN, VA 23059-7094
(412) 680-3891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415668
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053841908
NPI
VA
Enumeration date
06/14/2017
Last updated
02/08/2022
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