Provider Demographics
NPI:1356532915
Name:CARPIO, DANNELLE ROBYN (DDS)
Entity type:Individual
Prefix:DR
First Name:DANNELLE
Middle Name:ROBYN
Last Name:CARPIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13089 FALLING OAK DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-5929
Mailing Address - Country:US
Mailing Address - Phone:909-851-7748
Mailing Address - Fax:
Practice Address - Street 1:13089 FALLING OAK DR
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-5929
Practice Address - Country:US
Practice Address - Phone:909-851-7748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0535821223G0001X
CA570471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice