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1366908618
CAPITOL PERIODONTAL GROUP
DAVIS, CA
NPI
1366908618
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Entity Type
Organization
Authorized Contact
RENEE BLAKE
Insurance Coordinator
916-691-1050
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
CAPITOL PERIODONTAL GROUP
750 F STREET #5
DAVIS, CA 95616
Phone number: 530-756-6087
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Mailing Address
CAPITOL PERIODONTAL GROUP
9309 OFFICE PARK CIRCLE, SUITE 120
ELK GROVE, CA 95758
Phone number: 916-691-1050
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