| Capital Dental Group | |
|
401 S Van Brunt St # 404 Englewood NJ 07631-4604 | |
| (201) 567-5667 | |
| (201) 567-5646 |
| Full Name | Capital Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 401 S Van Brunt St # 404, Englewood, New Jersey |
| Authorized Official Name and Position | Kimberlie Yun (DENTIST/OWNER) |
| Authorized Official Contact | 8326618200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Dental Group 401 S Van Brunt St # 404 Englewood NJ 07631-4604 Ph: (201) 567-5667 | Capital Dental Group 401 S Van Brunt St # 404 Englewood NJ 07631-4604 Ph: (201) 567-5667 |
| NPI Number | 1780112714 |
|---|---|
| Provider Enumeration Date | 06/04/2017 |
| Last Update Date | 06/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780112714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (New Jersey) | Primary |
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