Provider Demographics
NPI:1205308764
Name:KIRPAL CORPORATION
Entity type:Organization
Organization Name:KIRPAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMITOJ
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:631-220-7839
Mailing Address - Street 1:8410 ARROWHEAD FARM DR
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0822
Mailing Address - Country:US
Mailing Address - Phone:631-220-7839
Mailing Address - Fax:
Practice Address - Street 1:5455 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-4346
Practice Address - Country:US
Practice Address - Phone:631-220-7839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty