Provider Demographics
NPI:1932426970
Name:ROY, BARNALI (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARNALI
Middle Name:
Last Name:ROY
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 1:3423 FILLMORE ST APT 110
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2130
Mailing Address - Country:US
Mailing Address - Phone:714-944-9074
Mailing Address - Fax:
Practice Address - Street 1:3501 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4505
Practice Address - Country:US
Practice Address - Phone:925-385-8051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA617651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry