| Gupta Dental Office | |
|
16049 Baseline Ave Unit 3 Fontana CA 92336-1861 | |
| (909) 356-9752 | |
| Not Available |
| Full Name | Gupta Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16049 Baseline Ave Unit 3, Fontana, California |
| Authorized Official Name and Position | Jugal K Gupta (DENTIST / OWNER) |
| Authorized Official Contact | 9093569752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gupta Dental Office 16049 Baseline Ave Unit 3 Fontana CA 92336-1861 Ph: (909) 356-9752 | Gupta Dental Office 16049 Baseline Ave Unit 3 Fontana CA 92336-1861 Ph: (909) 356-9752 |
| NPI Number | 1043443559 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 08/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043443559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36370 (California) | Primary |
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