| NPI | 1770601841 |
|---|---|
| Doing Business As | CAPITOL DENTAL |
| Entity Type | Organization |
| Authorized Contact | RENEE AVA MCCOY-COLLINS Managing Member 202-232-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: DC DEN3652) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC DEN3652) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC DEN10000380) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC DEN1000625) | |
| 1223G0001X Dentist, General Practice (Licence: DC DEN1000290) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN4058) | |
| 1223P0700X Dentist, Prosthodontics (Licence: DC DEN1000002) | |
| 1223G0001X Dentist, General Practice (Licence: DC den1000617) | |
| 1223G0001X Dentist, General Practice (Licence: DC DEN5724) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-01-31 |