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Individual

DR. RAJJU GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1040 NE 36TH ST, OKLAHOMA CITY, OK 73111-5002
(405) 967-7742
Mailing address
5908 REGIS CT, EDMOND, OK 73034-8010
(346) 413-9976

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7084
OK

Other

Enumeration date
07/02/2018
Last updated
02/12/2026
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