Organization · Type 2 NPI

Tina Gupta DDS PA II

Dental Clinic/Center · Henderson, NC

NPI number 1881904084 Active

Practice location

451 Ruin Creek Rd, Suite 201
Henderson, NC 27536-2878

Fax (252) 572-2527

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1881904084

Tina Gupta DDS PA II's National Provider Identifier is 1881904084, issued on Oct 21, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Henderson, NC. The record was last updated on Oct 21, 2010.