Individual
DR. PRIYA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4001 LEGATO RD STE 203, FAIRFAX, VA 22033-4098
(703) 385-7177
Mailing address
12380 CLARETH DR, HERNDON, VA 20171-2015
(703) 609-4144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414357
VA
Other
Enumeration date
06/02/2010
Last updated
12/06/2023
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