Gupta Dental Office

NPI 1043443559 - Dentist - 1223G0001X

NPI Details
NPI 1043443559
Enumeration Date 08/31/2009
Last Updated 08/31/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JUGAL K JUGAL
Position DENTIST / OWNER
Phone (909) 356-9752
Fax
Practice Location
16049 BASELINE AVE UNIT 3
FONTANA CA, 92336-1861, US
Phone (909) 356-9752
Fax
Business Location
16049 BASELINE AVE UNIT 3
FONTANA CA, 92336-1861, US
Phone (909) 356-9752
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 36370
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According to our database, Gupta Dental Office NPI is 1043443559, taxonomy code is 1223G0001X and license number is 36370, license state is located at California. Gupta Dental Office physically located at 16049 Baseline Ave Unit 3, Fontana CA, 92336-1861. NPI Number 1033115704 has the healthcare provider type.

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1043443559 NPI number is provided on an as is basis without warranty of any kind. 1043443559 is maintained by the National Plan & Provider Enumeration System. The contents of Gupta Dental Office are for informational purposes only.