Individual
SAMANTHA LAUREN CAPIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
74 STONEHURST RD, GROSSE POINTE SHORES, MI 48236-2627
(313) 910-8748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2951000903
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2022
Last updated
07/05/2022
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