Provider Demographics
NPI:1962010983
Name:KAPIL, AMRIT PAL (DMD)
Entity Type:Individual
Prefix:
First Name:AMRIT
Middle Name:PAL
Last Name:KAPIL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 EL CERRITO PLZ
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-4002
Mailing Address - Country:US
Mailing Address - Phone:925-294-0665
Mailing Address - Fax:
Practice Address - Street 1:170 EL CERRITO PLZ
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-4002
Practice Address - Country:US
Practice Address - Phone:925-294-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist