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Organization
CAPITOL CLINICAL DENTAL SERVICES, PLLC
Active
Organization
CAPITOL CLINICAL DENTAL SERVICES, PLLC
Active
Other names
Capitol Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE AVA MCCOY-COLLINS D.D.S (MANAGING MEMBER)
(202) 232-1116
Entity
Organization
Contact information
Practice address
2737 DEVONSHIRE PL NW STE A, WASHINGTON, DC 20008-3479
(202) 232-1116
(202) 232-1911
Mailing address
2737 DEVONSHIRE PL NW STE A, WASHINGTON, DC 20008-3479
(202) 232-1116
(202) 232-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN1000290
DC
1223G0001X
General Practice Dentistry
DEN1000617
DC
1223G0001X
General Practice Dentistry
DEN5724
DC
1223P0221X
Pediatric Dentistry
DEN4058
DC
1223P0700X
Prosthodontics
DEN1000002
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN10000380
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1000625
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN3652
DC
261QD0000X
Dental Clinic/Center
Primary
DEN3652
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038965400
—
DC
Enumeration date
03/27/2007
Last updated
01/31/2013
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