| Dipa Cappelen, D.m.d., P.c. | |
|
912 Grand Ave Ste 201 San Rafael CA 94901-3552 | |
| (415) 456-8735 | |
| (415) 456-1838 |
| Full Name | Dipa Cappelen, D.m.d., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 912 Grand Ave Ste 201, San Rafael, California |
| Authorized Official Name and Position | Dipa Cappelen (OWNER) |
| Authorized Official Contact | 4154568735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dipa Cappelen, D.m.d., P.c. 912 Grand Ave Ste 201 San Rafael CA 94901-3552 Ph: (415) 456-8735 | Dipa Cappelen, D.m.d., P.c. 912 Grand Ave Ste 201 San Rafael CA 94901-3552 Ph: (415) 456-8735 |
| NPI Number | 1285014274 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285014274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60454 (California) | Primary |
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