Provider Demographics
NPI:1679815674
Name:KEDIA, RUPALI (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUPALI
Middle Name:
Last Name:KEDIA
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 1:25343 SILVER ASPEN WAY
Mailing Address - Street 2:APT 322
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-0683
Mailing Address - Country:US
Mailing Address - Phone:714-906-4489
Mailing Address - Fax:
Practice Address - Street 1:25343 SILVER ASPEN WAY
Practice Address - Street 2:APT 322
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91381-0683
Practice Address - Country:US
Practice Address - Phone:714-906-4489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61648122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist