Provider Demographics
NPI:1164089728
Name:HIRPARA, KOMAL J (DDS)
Entity Type:Individual
Prefix:
First Name:KOMAL
Middle Name:J
Last Name:HIRPARA
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 1:3465 MCKEE RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-2233
Mailing Address - Country:US
Mailing Address - Phone:408-929-8811
Mailing Address - Fax:
Practice Address - Street 1:3465 MCKEE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-2233
Practice Address - Country:US
Practice Address - Phone:408-929-8811
Practice Address - Fax:408-929-8822
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35025122300000X
CA104852122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist