Individual
DR. ANJANA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
505 VISTULA ST, ELKHART, IN 46516-2809
(574) 293-2003
(574) 294-6131
Mailing address
505 VISTULA ST, ELKHART, IN 46516-2809
(574) 293-2003
(574) 294-6131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011039A
IN
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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