Individual
VINNIE GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 EDGEWOOD RD SW UNIT 160, CEDAR RAPIDS, IA 52404-3391
(319) 390-1400
Mailing address
410 3RD AVE APT 5, CORALVILLE, IA 52241-2409
(734) 344-1933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09921
IA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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