Organization
CHITVAN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHITVAN GUPTA DDS (OWNER)
(518) 248-1659
Entity
Organization
Contact information
Practice address
70 GLEN ST STE 240, GLEN COVE, NY 11542-2859
(516) 759-0086
(516) 344-8128
Mailing address
70 GLEN ST STE 240, GLEN COVE, NY 11542-2859
(516) 759-0086
(516) 344-8128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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