| NPI | 1356177158 | 
|---|---|
| Doing Business As | CAPITOL ORAL SURGERY & IMPLANT CENTER | 
| Entity Type | Organization | 
| Authorized Contact | PAOLA RAMOS Credentialing Team Lead 972-869-3789  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery | 
| Enumeration Date | 2024-09-10 | 
| Last Update Date | 2024-09-10 |