Individual
DR. PRATIK VINODKUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 W NC HIGHWAY 54 STE 201, DURHAM, NC 27713-7564
(919) 205-2216
(919) 590-1711
Mailing address
602 GABRIELINO DR, IRVINE, CA 92617-4107
(817) 896-2865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001615
WI
122300000X
Dentist
Primary
105850
CA
122300000X
Dentist
11217
NC
Other
Enumeration date
06/22/2017
Last updated
07/22/2025
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