Individual
NISHA PUNJABI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
34100 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-5311
(440) 327-0027
(440) 327-0027
Mailing address
35201 EMORY DR, AVON, OH 44011-4932
(734) 417-2781
(440) 327-1326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022075
OH
Other
Enumeration date
01/30/2007
Last updated
10/18/2018
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