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Organization
CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC
Active
Organization
CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC
Active
Parent organization
CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
367 STATE ROUTE 120 UNIT E1, LEBANON, NH 03766-1430
(603) 643-1700
Mailing address
367 STATE ROUTE 120 UNIT E1, LEBANON, NH 03766-1430
(603) 643-1700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
09/24/2026
Last updated
09/24/2026
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