| Shuchita Gupta, Dds ,inc. | |
|
17832 Bellflower Blvd Bellflower CA 90706-6614 | |
| (562) 644-7769 | |
| Not Available |
| Full Name | Shuchita Gupta, Dds ,inc. |
|---|---|
| Speciality | Dentist |
| Location | 17832 Bellflower Blvd, Bellflower, California |
| Authorized Official Name and Position | Shuchita Gupta (PRESIDENT) |
| Authorized Official Contact | 5626447769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shuchita Gupta, Dds ,inc. 17832 Bellflower Blvd Bellflower CA 90706-6614 Ph: (562) 644-7769 | Shuchita Gupta, Dds ,inc. 17832 Bellflower Blvd Bellflower CA 90706-6614 Ph: (562) 644-7769 |
| NPI Number | 1073765814 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 10/10/2008 |
| Medicare PECOS PAC ID | 9830313642 |
|---|---|
| Medicare Enrollment ID | O20140618001253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073765814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Shuchita Gupta |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386835296 PECOS PAC ID: 0749404556 Enrollment ID: I20140618001310 |
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