Individual
MANISH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11201 SHAKER BLVD STE 136, CLEVELAND, OH 44104-3833
(216) 368-7238
(217) 791-8322
Mailing address
11201 SHAKER BLVD STE 136, CLEVELAND, OH 44104-3833
(216) 368-7238
(217) 791-8322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30023291
OH
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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