| Gupta Dental Corporation | |
|
11623 Cherry Ave Suite B-2 Fontana CA 92337-1212 | |
| (909) 355-1485 | |
| (909) 355-2715 |
| Full Name | Gupta Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 11623 Cherry Ave, Fontana, California |
| Authorized Official Name and Position | Jugal Kishore Gupta (OWNER) |
| Authorized Official Contact | 9093551485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gupta Dental Corporation 11623 Cherry Ave Suite B-2 Fontana CA 92337-1212 Ph: (909) 355-1485 | Gupta Dental Corporation 11623 Cherry Ave Suite B-2 Fontana CA 92337-1212 Ph: (909) 355-1485 |
| NPI Number | 1689097107 |
|---|---|
| Provider Enumeration Date | 02/04/2014 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689097107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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