Individual
DR. SHIVANI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
208 S RAINBOW BLVD, LAS VEGAS, NV 89145-5304
(702) 363-0444
(702) 363-4136
Mailing address
208 S RAINBOW BLVD, LAS VEGAS, NV 89145-5304
(702) 363-0444
(702) 363-4136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5163
NV
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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