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Organization

GUPTA FAMILY DENTISTRY PLLC

Active
Parent organization
GUPTA FAMILY DENTISTRY PLLC
Other names
Gupta Family Dentistry of Mendon
Organization subpart
Yes

Provider details

NPI number
Legal business name
GUPTA FAMILY DENTISTRY PLLC
Authorized official
BHUMIJA GUPTA (OWNER)
(585) 436-1640
Entity
Organization

Contact information

Practice address
10 ASSEMBLY DR STE 101, MENDON, NY 14506-9604
(585) 624-5480
Mailing address
PO BOX 455, MENDON, NY 14506-0455

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry

Other

Enumeration date
03/30/2021
Last updated
03/30/2021
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