Individual
DEEPAK GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
207 E 31ST ST, SAVANNAH, GA 31401-7304
(912) 232-2779
(912) 236-1962
Mailing address
207 E 31ST ST, SAVANNAH, GA 31401-7304
(912) 232-2779
(912) 236-1962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013967
GA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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