Individual
DR. RAJA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6116 ROLLING RD STE 312, SPRINGFIELD, VA 22152-1512
(703) 323-9394
(703) 323-9395
Mailing address
6116 ROLLING RD STE 312, SPRINGFIELD, VA 22152-1512
(703) 323-9394
(703) 323-9395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411267
VA
1223G0001X
General Practice Dentistry
13837
MD
Other
Enumeration date
01/16/2007
Last updated
03/17/2018
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