Healthcare Provider Details

I. General information

NPI: 1215945407
Provider Name (Legal Business Name): DONNA K BARPAL DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3164 PUTNAM BLVD STE A
WALNUT CREEK CA
94597-1868
US

IV. Provider business mailing address

3164 PUTNAM BOULEVARD
WALNUT CREEK CA
94597
US

V. Phone/Fax

Practice location:
  • Phone: 928-935-1977
  • Fax: 925-935-3613
Mailing address:
  • Phone: 928-935-1977
  • Fax: 925-935-3613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number43684
License Number StateCA

VIII. Authorized Official

Name: DONNA K BARPAL
Title or Position: DENTIST OWNER
Credential: DDS
Phone: 925-935-1977