Provider Demographics
NPI:1043577547
Name:RUPANI, NAMRATA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:NAMRATA
Middle Name:
Last Name:RUPANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2038 KIOWA CREST DR # 1
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3262
Mailing Address - Country:US
Mailing Address - Phone:909-610-5312
Mailing Address - Fax:949-798-1855
Practice Address - Street 1:2038 KIOWA CREST DR # 1
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-3262
Practice Address - Country:US
Practice Address - Phone:909-610-5312
Practice Address - Fax:949-798-1855
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60763122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist