Individual
DR. EVA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
430 W ERIE ST, STE 200, CHICAGO, IL 60654-6914
(312) 274-0308
Mailing address
1331 HIGHLAND AVE, APT 221, DUARTE, CA 91010-3812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028725
IL
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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