Individual
DR. SUMITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-2000
Mailing address
105 S MAIN ST, APT # 105, WEST HARTFORD, CT 06107-2524
(860) 920-8421
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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