Healthcare Provider Details

I. General information

NPI: 1205107364
Provider Name (Legal Business Name): PINALBEN VIRAPARIA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PINAL VIRAPARIA DDS

II. Dates (important events)

Enumeration Date: 01/21/2012
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 PARNASSUS AVE D4000
SAN FRANCISCO CA
94143-2210
US

IV. Provider business mailing address

1528 S EL CAMINO REAL STE 408
SAN MATEO CA
94402-3067
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-9656
  • Fax:
Mailing address:
  • Phone: 650-212-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number60899
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: