| Capitol Dental Care, Inc. | |
|
3000 Market St Ne Suite 228 Salem OR 97301-1882 | |
| (503) 585-5205 | |
| (503) 581-0043 |
| Full Name | Capitol Dental Care, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3000 Market St Ne, Salem, Oregon |
| Authorized Official Name and Position | William Hart Laws (PRESIDENT) |
| Authorized Official Contact | 5035855205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Dental Care, Inc. 3000 Market St Ne Suite 228 Salem OR 97301-1882 Ph: (503) 585-5205 | Capitol Dental Care, Inc. 3000 Market St Ne Suite 228 Salem OR 97301-1882 Ph: (503) 585-5205 |
| NPI Number | 1023286580 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 02/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023286580 | NPI | - | NPPES |
| 122627 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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