Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 14388 | MA |
Y | 1223X0400X | Orthodontists | 34978 | CA |
NPI | 1003020397 |
---|---|
Provider Name | Rute Irene Kalpins |
First Address | Rancho Cucamonga, CA 91730-1255 |
Second Address | Rancho Cucamonga, CA 91730-1255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 08/07/2007 |