Individual
SURBHI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632-1012
(410) 754-9021
Mailing address
215 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632-1012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417822
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
06/05/2022
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