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DR. CHANDER GUPTA DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1184775363

Individual Registrant:
DR. CHANDER  GUPTA DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
129 E DANIA BEACH BLVD  DANIA BEACH, FL 33004-3032 US
Tel: 954-922-4633  Fax: 954-921-5999

Contact information for business:
129 E DANIA BEACH BLVD  DANIA BEACH, FL 33004-3032 US
Tel: 954-922-4633  Fax: 954-921-5999

Registration Information:
NPI: 1184775363
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FL10515

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UNITED CONCORDIA71489101




HEALTH CARE JOBS FL - Page 1



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