Organization
ANISH GUPTA DDS PLLC
Active
Other names
Lyon Dental Implants, Lyon Dental Implants and Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISH GUPTA DDS (OWNER, ORAL AND MAXILLOFACIAL SURGE)
(248) 895-1451
Entity
Organization
Contact information
Practice address
30770 LYON CENTER DR. EAST, NEW HUDSON, MI 48165
(248) 422-1555
(248) 422-0755
Mailing address
6736 PORTSMAN CT, CANTON, MI 48187-2176
(248) 895-1451
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/22/2020
Last updated
03/06/2023
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