Nizi Gupta Valid NPI
Individual provider · General Practice Dentistry · Bridgeport, CT
- NPI
- 1346463635
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 009612 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Practice location
2660 Main St, Suite 217
Bridgeport, CT 06606-5369
(203) 576-1608