Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 1787 | FL |
NPI | 1033629894 |
---|---|
Provider Name | Dr. Swati Gupta |
First Address | Gainesville, FL 32610-0001 |
Second Address | Gainesville, FL 32610-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2017 |
Last Update Date | 06/10/2017 |