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Organization

CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC

Active
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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
6 LOUDON RD STE 204, CONCORD, NH 03301-5321
(603) 225-0008
Mailing address
6 LOUDON RD STE 204, CONCORD, NH 03301-5321
(603) 225-0008

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL

Other

Enumeration date
10/07/2026
Last updated
10/07/2026
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