Individual
CHITVAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
70 GLEN ST STE 240, GLEN COVE, NY 11542-2859
(516) 759-0086
Mailing address
70 GLEN ST STE 240, GLEN COVE, NY 11542-2859
(518) 248-1659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056999
NY
Other
Enumeration date
10/06/2009
Last updated
11/21/2019
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