| Preetika Gupta Dds Pc | |
|
1521 Straight Path Wyandanch NY 11798-3436 | |
| (631) 643-3800 | |
| (631) 253-4292 |
| Full Name | Preetika Gupta Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1521 Straight Path, Wyandanch, New York |
| Authorized Official Name and Position | Preetika Gupta (DDS) |
| Authorized Official Contact | 6316433800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preetika Gupta Dds Pc 1521 Straight Path Wyandanch NY 11798-3436 Ph: (631) 643-3800 | Preetika Gupta Dds Pc 1521 Straight Path Wyandanch NY 11798-3436 Ph: (631) 643-3800 |
| NPI Number | 1881020576 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881020576 | NPI | - | NPPES |
| 054641 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 054641 (New York) | Primary |
Wyandanch Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Straight Path, Wyandanch, NY 11798 Phone: 631-643-3800 Fax: 631-253-4292 | |
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