Provider Demographics
NPI:1699095794
Name:KAPADIA, MUFADDAL (DDS)
Entity type:Individual
Prefix:DR
First Name:MUFADDAL
Middle Name:
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 S WESTLAKE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1931
Mailing Address - Country:US
Mailing Address - Phone:805-497-8283
Mailing Address - Fax:
Practice Address - Street 1:1240 S WESTLAKE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-1931
Practice Address - Country:US
Practice Address - Phone:805-497-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA612431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice