Provider Demographics
NPI:1114559994
Name:GURPEGUI ABUD, DANIELA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:GURPEGUI ABUD
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARK AVE APT 3608
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-3859
Mailing Address - Country:US
Mailing Address - Phone:201-917-8571
Mailing Address - Fax:
Practice Address - Street 1:100 PARK AVE APT PH4J
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-3806
Practice Address - Country:US
Practice Address - Phone:201-917-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0001071223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics