| Blue Ridge Family Dental | |
|
292 Alamo Dr Ste 5 Vacaville CA 95688-4243 | |
| (707) 448-6882 | |
| Not Available |
| Full Name | Blue Ridge Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 292 Alamo Dr Ste 5, Vacaville, California |
| Authorized Official Name and Position | Daniel Michael Capponi (OWNER) |
| Authorized Official Contact | 7074777465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Family Dental 292 Alamo Dr Ste 5 Vacaville CA 95688-4243 Ph: () - | Blue Ridge Family Dental 292 Alamo Dr Ste 5 Vacaville CA 95688-4243 Ph: (707) 448-6882 |
| NPI Number | 1528426384 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528426384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50221 (California) | Primary |
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