| Capital Family Dental Center Pc | |
|
12164 Central Ave Suite 218 Mitchellville MD 20721 | |
| (301) 249-4404 | |
| (301) 249-2209 |
| Full Name | Capital Family Dental Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 12164 Central Ave, Mitchellville, Maryland |
| Authorized Official Name and Position | Sonia E Martin Samuels (PRESIDENT) |
| Authorized Official Contact | 3012494404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Family Dental Center Pc 12164 Central Ave Suite 218 Mitchellville MD 20721 Ph: (301) 249-4404 | Capital Family Dental Center Pc 12164 Central Ave Suite 218 Mitchellville MD 20721 Ph: (301) 249-4404 |
| NPI Number | 1437360096 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437360096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10653 (Maryland) | Primary |
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