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Organization

ACE DENTAL03 PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADITI GUPTA (OWNER/PROVIDER)
(201) 925-0210
Entity
Organization

Contact information

Practice address
100 CARLOS G. PARKER BLVD, 110, TAYLOR, TX 76574
(201) 925-0210
Mailing address
100 CARLOS G. PARKER BLVD, 110, TAYLOR, TX 76574

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29291
TX

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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