Individual
ALOK GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2661 S VETERANS PKWY, SPRINGFIELD, IL 62704-6401
(217) 492-1400
Mailing address
2661 S VETERANS PKWY, SPRINGFIELD, IL 62704-6401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028320
IL
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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