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Organization

KAVITA GUPTA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAVITA GUPTA DDS (OWNER)
(630) 782-6999
Entity
Organization

Contact information

Practice address
1200 S YORK ST, STE 3110, ELMHURST, IL 60126-5626
(630) 782-6999
Mailing address
1200 S YORK ST, STE 3110, ELMHURST, IL 60126-5626
(630) 782-6999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023007
IL

Other

Enumeration date
08/25/2016
Last updated
08/25/2016
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