Organization
ACE DENTAL10, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADITI GUPTA DDS (OWNER)
(201) 925-0210
Entity
Organization
Contact information
Practice address
901 N IH-35, SUITE 111, BELLMEAD, TX 76705
(833) 777-7223
Mailing address
901 N IH-35, SUITE 111, BELLMEAD, TX 76705
(833) 777-7223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29291
TSBDE
TX
Enumeration date
07/22/2020
Last updated
07/22/2020
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