| Capital Dental Of Virginia, Llc | |
|
3100 20th St Ne Washington DC 20018-2420 | |
| (202) 526-6720 | |
| (202) 269-0090 |
| Full Name | Capital Dental Of Virginia, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3100 20th St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Gloria Maria Campos Vasquez (PRESIDENT) |
| Authorized Official Contact | 2405358126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Dental Of Virginia, Llc 3100 20th St Ne Washington DC 20018-2420 Ph: (202) 526-6720 | Capital Dental Of Virginia, Llc 3100 20th St Ne Washington DC 20018-2420 Ph: (202) 526-6720 |
| NPI Number | 1710485917 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710485917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401415043 (Virginia) | Primary |
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