Provider Demographics
NPI:1801074752
Name:MARIA RHODORA L. CAPIRAL DDS, INC.
Entity type:Organization
Organization Name:MARIA RHODORA L. CAPIRAL DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA RHODORA
Authorized Official - Middle Name:LAZARO
Authorized Official - Last Name:CAPIRAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-310-4501
Mailing Address - Street 1:436 PLAZA CALIMAR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4402
Mailing Address - Country:US
Mailing Address - Phone:619-397-2908
Mailing Address - Fax:
Practice Address - Street 1:11635 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90701-6628
Practice Address - Country:US
Practice Address - Phone:714-527-6271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-02
Last Update Date:2008-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA460321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty