Organization
UPPAL DENTAL CORP
Active
Other names
Vermont Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GAGAN UPPAL DMD (OWNER)
(732) 254-1994
Entity
Organization
Contact information
Practice address
1014 N VERMONT AVE, LOS ANGELES, CA 90029-2620
(732) 254-1994
Mailing address
1014 N VERMONT AVE, LOS ANGELES, CA 90029-2620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DDS55640
CA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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