Jagruti N Gupta DDS

NPI 1073602504 - Dentist - 122300000X

NPI Details
NPI 1073602504
Gender Female
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4239 S ARCHER AVE
CHICAGO IL, 60632-2568, US
Phone (773) 523-7525
Fax (773) 523-0609
Business Location
4239 S ARCHER AVE
CHICAGO IL, 60632-2568, US
Phone (773) 523-7525
Fax (773) 523-0609
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Jagruti N Gupta DDS NPI is 1073602504, taxonomy code is 122300000X Jagruti N Gupta DDS physically located at 4239 S Archer Ave, Chicago IL, 60632-2568. NPI Number Jagruti N Gupta DDS has the Individual type.

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1073602504 NPI number is provided on an as is basis without warranty of any kind. 1073602504 is maintained by the National Plan & Provider Enumeration System. The contents of Jagruti N Gupta DDS are for informational purposes only.