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Provider Information for 1396952719

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DEVENDERA SINGH GUJRAL DDS

Gender: MALE

Individual NPI: 1396952719

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1396952719
Enumeration Date 2007-05-16
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5919 S TRANSIT RD
LOCKPORT, NY 14094-6305
United States

Phone: 716-433-0330 | Fax: 716-280-0330
View Map External Link
Primary Practice Address 5919 S TRANSIT RD
LOCKPORT, NY 14094-6305
United States

Phone: 716-433-0330 | Fax: 716-280-0330
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 041046-1