| NPI | 1508014499 |
|---|---|
| Doing Business As | CAPITOL DENTAL |
| Entity Type | Organization |
| Authorized Contact | RENEE AVA MCCOY-COLLINS Managing Member 202-232-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC DEN3652) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN2228) |
| 1223G0001X Dentist, General Practice (Licence: DC DEN1000290) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC DEN1000625) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |