Provider Demographics
NPI:1083781413
Name:KAPGAN, LINDA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:KAPGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:S
Other - Last Name:KAPGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:19301 SATICOY ST STE D
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-2358
Mailing Address - Country:US
Mailing Address - Phone:818-772-4222
Mailing Address - Fax:818-772-1530
Practice Address - Street 1:19301 SATICOY ST STE D
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2358
Practice Address - Country:US
Practice Address - Phone:818-772-4222
Practice Address - Fax:818-772-1530
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO333001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice