| NPI | 1780068015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MICHAEL CAPPONI Owner 707-255-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50221) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |