Individual
BHAWNA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7611 FLOWER MEADOW DR, SAN DIEGO, CA 92126-1048
(858) 603-0281
Mailing address
7611 FLOWER MEADOW DR, SAN DIEGO, CA 92126-1048
(858) 603-0281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101088
CA
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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