Individual
DR. POOJA GUPTA KASPEROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11198 LEE HIGHWAY, FAIRFAX, VA 22030
(703) 591-5637
(703) 591-7934
Mailing address
11198 LEE HIGHWAY, FAIRFAX, VA 22030
(703) 591-5637
(703) 591-7934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411921
VA
1223G0001X
General Practice Dentistry
Primary
0401411921
VA
Other
Enumeration date
10/04/2007
Last updated
05/28/2015
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