Organization
A GUPTA DENTAL PC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALOK GUPTA DMD (OWNER)
(217) 793-2400
Entity
Organization
Contact information
Practice address
2661 S VETERANS PKWY, SPRINGFIELD, IL 62704-6401
(217) 793-2400
(217) 726-7542
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028320
IL
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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