| Capital Kids Dentistry Llc | |
|
4200 Wisconsin Ave Nw Ste 240 Washington DC 20016-2143 | |
| (202) 545-7200 | |
| Not Available |
| Full Name | Capital Kids Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4200 Wisconsin Ave Nw Ste 240, Washington, District Of Columbia |
| Authorized Official Name and Position | Jessica Exelbert Rubin (OWNER) |
| Authorized Official Contact | 2025457200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Kids Dentistry Llc 4200 Wisconsin Ave Nw Ste 240 Washington DC 20016-2143 Ph: (202) 545-7200 | Capital Kids Dentistry Llc 4200 Wisconsin Ave Nw Ste 240 Washington DC 20016-2143 Ph: (202) 545-7200 |
| NPI Number | 1629451430 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629451430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DEN1000864 (District Of Columbia) | Primary |
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