Individual
DR. ANIL K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4702 WHITEHALL BLVD, ALEXANDRIA, LA 71303-2633
(318) 792-5611
Mailing address
4017 PARLIAMENT DR, ALEXANDRIA, LA 71303-3018
(318) 442-4430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6354
LA
Other
Enumeration date
04/03/2013
Last updated
02/05/2016
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