Individual
SONIA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
56 EHIKU LOOP STE 2, KIHEI, HI 96753-5612
(808) 633-6931
(888) 222-3530
Mailing address
PO BOX 539, KIHEI, HI 96753-0539
(808) 633-6931
(888) 222-3530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57251
CA
122300000X
Dentist
Primary
DT-2386
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635534
—
HI
Enumeration date
02/24/2009
Last updated
11/24/2014
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