Individual
DR. AVIN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2800 SPENCERPORT RD, SUITE A4, SPENCERPORT, NY 14559-1977
(585) 352-3627
Mailing address
73 VISCOUNT DR, BUFFALO, NY 14221-1766
(267) 984-0145
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055323
NY
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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