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Organization
DIPA CAPPELEN, D.M.D., P.C.
Active
Organization
DIPA CAPPELEN, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPA CAPPELEN DMD (OWNER)
(415) 456-8735
Entity
Organization
Contact information
Practice address
912 GRAND AVE STE 201, SAN RAFAEL, CA 94901-3552
(415) 456-8735
(415) 456-1838
Mailing address
912 GRAND AVE STE 201, SAN RAFAEL, CA 94901-3552
(415) 456-8735
(415) 456-1838
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60454
CA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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