Provider Demographics
NPI:1346393634
Name:DALPORTO, MARK WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:WILLIAM
Last Name:DALPORTO
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:516 W REMINGTON DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2470
Mailing Address - Country:US
Mailing Address - Phone:408-736-4366
Mailing Address - Fax:408-736-2620
Practice Address - Street 1:516 W REMINGTON DR
Practice Address - Street 2:SUITE 2
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2470
Practice Address - Country:US
Practice Address - Phone:408-736-4366
Practice Address - Fax:408-736-2620
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAO356041223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry