Organization
DEEPTI GUPTA-JOHNSON, DMD LLC
Active
Other names
Daydream Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPTI GUPTA-JOHNSON DMD (MANAGER)
(937) 681-5255
Entity
Organization
Contact information
Practice address
4901 NE GLISAN ST, PORTLAND, OR 97213-2935
(503) 231-1644
Mailing address
4901 NE GLISAN ST, PORTLAND, OR 97213-2935
(937) 681-5255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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