| Capitol Oral Surgery & Implant Center | |
|
601 W Capitol Ave Little Rock AR 72201-3311 | |
| (501) 904-8282 | |
| Not Available |
| Full Name | Capitol Oral Surgery & Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 601 W Capitol Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Paola Ramos (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Oral Surgery & Implant Center Po Box 734753 Dallas TX 75373-4753 Ph: (501) 904-8282 | Capitol Oral Surgery & Implant Center 601 W Capitol Ave Little Rock AR 72201-3311 Ph: (501) 904-8282 |
| NPI Number | 1356177158 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356177158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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