| Capital Dme | |
|
3636 16th St Nw Suite Ag 13 Washington DC 20010-1146 | |
| (202) 239-7108 | |
| Not Available |
| Full Name | Capital Dme |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3636 16th St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Oluwole Ajagbe (OWNER) |
| Authorized Official Contact | 2022397108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Dme 3636 16th St Nw Suite Ag 13 Washington DC 20010-1146 Ph: (202) 239-7108 | Capital Dme 3636 16th St Nw Suite Ag 13 Washington DC 20010-1146 Ph: (202) 239-7108 |
| NPI Number | 1649702440 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649702440 | NPI | - | NPPES |
| 01801200 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5263 (District Of Columbia) | Primary |
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