Individual
DR. RAJEEV GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
459 LAKEHURST RD, PLAZA ONE, TOMS RIVER, NJ 08755
(732) 349-9222
(732) 349-6213
Mailing address
459 LAKEHURST RD, PLAZA ONE, TOMS RIVER, NJ 08755
(732) 349-9222
(732) 349-6213
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
220102077300
NJ
1223E0200X
Endodontics
DI20773
NJ
Other
Enumeration date
05/02/2007
Last updated
04/13/2011
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