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Individual

DR. JAGRUTI N GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4239 S ARCHER AVE, CHICAGO, IL 60632-2568
(773) 523-7525
(773) 523-0609
Mailing address
4239 S ARCHER AVE, CHICAGO, IL 60632-2568
(773) 523-7525
(773) 523-0609

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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