Individual
DR. VIDUSHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
546 S BROAD ST STE 2D, MERIDEN, CT 06450-6601
(203) 630-1312
Mailing address
546 S BROAD ST STE 2D, MERIDEN, CT 06450-6601
(203) 630-1312
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12796
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
11/24/2021
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