Organization
DANIEL CAPPONI DDS APC
Active
Other names
Blue Ridge Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MICHAEL CAPPONI DDS (OWNER)
(707) 477-7465
Entity
Organization
Contact information
Practice address
292 ALAMO DR STE 5, VACAVILLE, CA 95688-4243
(707) 448-6882
Mailing address
292 ALAMO DR STE 5, VACAVILLE, CA 95688-4243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50221
CA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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