Individual
DR. ANISH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30770 LYON CENTER DRIVE EAST, NEW HUDSON, MI 48165
(248) 422-1555
(248) 422-0755
Mailing address
30770 LYON CENTER DRIVE EAST, NEW HUDSON, MI 48165
(248) 422-1555
(248) 422-0755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020371
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020371
MI
Other
Enumeration date
05/31/2011
Last updated
03/08/2023
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