Provider Demographics
NPI:1932364361
Name:BUTTAR, RUPINDER (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUPINDER
Middle Name:
Last Name:BUTTAR
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 1:801 A ST
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3010
Mailing Address - Country:US
Mailing Address - Phone:415-460-9744
Mailing Address - Fax:415-460-9740
Practice Address - Street 1:801 A ST
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3010
Practice Address - Country:US
Practice Address - Phone:415-460-9744
Practice Address - Fax:415-460-9740
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57190122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist