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DR. CHANDER GUPTA DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1184775363
Individual Registrant:DR. CHANDER GUPTA DDS
Gender: M
Not Sole Proprietor
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
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
Tel: 954-922-4633 Fax: 954-921-5999
Registration Information:
NPI: 1184775363
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | FL | 10515 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UNITED CONCORDIA | 714891 | 01 |
