| Capitol Hill Dental Group | |
|
412 1st St Se 2nd Floor, Rear Building Washington DC 20003-1804 | |
| (202) 863-1600 | |
| Not Available |
| Full Name | Capitol Hill Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 412 1st St Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Norman J Bouchard (OWNER) |
| Authorized Official Contact | 2028631600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Hill Dental Group 412 1st St Se 2nd Floor, Rear Building Washington DC 20003-1804 Ph: (202) 863-1600 | Capitol Hill Dental Group 412 1st St Se 2nd Floor, Rear Building Washington DC 20003-1804 Ph: (202) 863-1600 |
| NPI Number | 1124380100 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124380100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3463 (District Of Columbia) | Primary |
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