Provider Demographics
NPI:1265458962
Name:CAPINPIN, ALLAN PONSALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:PONSALAN
Last Name:CAPINPIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 YGNACIO VALLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3125
Mailing Address - Country:US
Mailing Address - Phone:925-932-3366
Mailing Address - Fax:925-932-3388
Practice Address - Street 1:1776 YGNACIO VALLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3125
Practice Address - Country:US
Practice Address - Phone:925-932-3366
Practice Address - Fax:925-932-3388
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA421291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice