Provider Demographics
NPI:1508863754
Name:DHADLI, RUPINDER K (DDS MD)
Entity Type:Individual
Prefix:
First Name:RUPINDER
Middle Name:K
Last Name:DHADLI
Suffix:
Gender:F
Credentials:DDS MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6125 NE CORNELL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5417
Mailing Address - Country:US
Mailing Address - Phone:503-547-8879
Mailing Address - Fax:503-547-8538
Practice Address - Street 1:6125 NE CORNELL RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5412
Practice Address - Country:US
Practice Address - Phone:503-547-8879
Practice Address - Fax:503-547-8538
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORD79311223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery