| Kavita Gupta Pc | |
|
1200 S York St Ste 3110 Elmhurst IL 60126-5626 | |
| (630) 782-6999 | |
| Not Available |
| Full Name | Kavita Gupta Pc |
|---|---|
| Speciality | Dentist |
| Location | 1200 S York St, Elmhurst, Illinois |
| Authorized Official Name and Position | Kavita Gupta (OWNER) |
| Authorized Official Contact | 6307826999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavita Gupta Pc 1200 S York St Ste 3110 Elmhurst IL 60126-5626 Ph: (630) 782-6999 | Kavita Gupta Pc 1200 S York St Ste 3110 Elmhurst IL 60126-5626 Ph: (630) 782-6999 |
| NPI Number | 1336695899 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 08/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336695899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019023007 (Illinois) | Primary |
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