| NPI | 1952961492 |
|---|---|
| Doing Business As | CAPITOL DENTAL |
| Entity Type | Organization |
| Authorized Contact | OTIS COLLINS COO 202-232-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |