| NPI | 1528426384 |
|---|---|
| Doing Business As | BLUE RIDGE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL MICHAEL CAPPONI Owner 707-477-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 50221) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |