Provider Demographics
NPI:1205107364
Name:VIRAPARIA, PINALBEN (DDS)
Entity type:Individual
Prefix:
First Name:PINALBEN
Middle Name:
Last Name:VIRAPARIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:PINAL
Other - Middle Name:
Other - Last Name:VIRAPARIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1528 S EL CAMINO REAL
Mailing Address - Street 2:STE 408
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3067
Mailing Address - Country:US
Mailing Address - Phone:650-212-3500
Mailing Address - Fax:
Practice Address - Street 1:707 PARNASSUS AVE
Practice Address - Street 2:D4000
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2210
Practice Address - Country:US
Practice Address - Phone:415-476-9656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-21
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA608991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice