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Organization
CAPITOL DENTAL, PC
Active
Organization
CAPITOL DENTAL, PC
Active
Other names
Capitol Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DARREL L MOONEY D.D.S., F.A.C.P. (OWNER)
(208) 336-9333
Entity
Organization
Contact information
Practice address
314 W BANNOCK ST, BOISE, ID 83702-6032
(208) 336-9333
(208) 387-1951
Mailing address
314 W BANNOCK ST, BOISE, ID 83702-6032
(208) 336-9333
(208) 387-1951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
08/12/2006
Last updated
09/11/2025
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