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Individual

RACHEL BEATRICE GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3820 WABASH AVE, SPRINGFIELD, IL 62711-6467
(217) 698-8777
Mailing address
4200 FOXHALL LN, SPRINGFIELD, IL 62711-6803
(217) 801-3100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031193
IL

Other

Enumeration date
06/09/2017
Last updated
04/30/2026
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