Organization
PRIYA GUPTA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYA GUPTA DMD (PRESIDENT/OWNER)
(703) 609-4144
Entity
Organization
Contact information
Practice address
4001 LEGATO RD STE 203, FAIRFAX, VA 22033-4098
(703) 385-7177
Mailing address
12380 CLARETH DR, HERNDON, VA 20171-2015
(703) 609-4144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
12/06/2023
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