Individual
PREETI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15-01 BROADWAY STE 18, FAIR LAWN, NJ 07410-6018
(201) 475-1600
Mailing address
15-01 BROADWAY STE 18, FAIR LAWN, NJ 07410-6018
(201) 475-1600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
051585
NY
Other
Enumeration date
07/08/2007
Last updated
05/13/2012
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