Individual
PRAFULL DAS GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
239 S BURLINGTON BLVD, BURLINGTON, WA 98233-1708
(360) 707-5353
Mailing address
1101-1473 JOHNSTON RD, WHITE ROCK, BRITISH COLUMBIA V4B 0-A2
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61212830
WA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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