Individual
DR. ADITYA PRASHAD GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
488 N BEVERWYCK RD STE B, LAKE HIAWATHA, NJ 07034-2511
(973) 860-9724
(973) 860-9774
Mailing address
488 N BEVERWYCK RD STE B, LAKE HIAWATHA, NJ 07034-2511
(973) 860-9724
(973) 860-9774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019032007
IL
1223G0001X
General Practice Dentistry
059258
NY
1223G0001X
General Practice Dentistry
Primary
22DI02648500
NJ
1223G0001X
General Practice Dentistry
DS041600
PA
Other
Enumeration date
01/31/2016
Last updated
04/02/2020
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