| NPI | 1982918983 |
|---|---|
| Other Name | CAPITAL CITY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | COLBY J COCKRELL Owner 360-943-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60023798) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |