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General NPI Number Information
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NPI Number | 1588381438
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Entity Type | Organization
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Legal Business Name | ANNA G UPPAL DDS CORP
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 1568 CREEKSIDE DR STE 101
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City | FOLSOM
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State | CA
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Zip | 95630-3449
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Country | US
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Telephone | 408-387-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 3581 TERRA ALTA DR
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9373
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Country | US
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Telephone | 408-387-3113
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANNA GILL UPPAL
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Credential | DDS
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Telephone | 408-387-3113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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