Provider Demographics
NPI:1528404852
Name:LACHAPPELL, MARGARITA VINTERES
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:VINTERES
Last Name:LACHAPPELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 SECRET RIVER DR STE A-2
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3465
Mailing Address - Country:US
Mailing Address - Phone:916-428-6618
Mailing Address - Fax:916-428-1208
Practice Address - Street 1:925 SECRET RIVER DR STE A-2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3465
Practice Address - Country:US
Practice Address - Phone:916-428-6618
Practice Address - Fax:916-428-1208
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist