| NPI | 1558673111 |
|---|---|
| Former Name | SURABHI GUPTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 057276) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-24663) |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2016-11-07 |