NPI | 1225545486 |
---|---|
Doing Business As | CAPITOL FAMILY DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | KA VANG Office Manager 414-461-4140 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-03-17 |