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Organization

CAPITOL DENTAL CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM HART LAWS (PRESIDENT)
(503) 585-5205
Entity
Organization

Contact information

Practice address
3000 MARKET ST NE, SUITE 228, SALEM, OR 97301-1882
(503) 585-5205
(503) 581-0043
Mailing address
3000 MARKET ST NE, SUITE 228, SALEM, OR 97301-1882
(503) 585-5205
(503) 581-0043

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122627
OR
Enumeration date
02/18/2008
Last updated
02/18/2008
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