Provider Demographics
NPI:1992005946
Name:BOPARAI, KARLEEN (DMD)
Entity Type:Individual
Prefix:
First Name:KARLEEN
Middle Name:
Last Name:BOPARAI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 DUNHILL DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-1354
Mailing Address - Country:US
Mailing Address - Phone:617-306-8479
Mailing Address - Fax:
Practice Address - Street 1:4425 TREAT BLVD STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-2762
Practice Address - Country:US
Practice Address - Phone:925-363-7715
Practice Address - Fax:925-363-7714
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA580231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice