Provider Demographics
NPI:1760457642
Name:KAPILA, KAVITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:
Last Name:KAPILA
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 1:562 E EVELYN AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6403
Mailing Address - Country:US
Mailing Address - Phone:408-720-8521
Mailing Address - Fax:
Practice Address - Street 1:471 E EVELYN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6358
Practice Address - Country:US
Practice Address - Phone:408-749-1050
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47106122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist