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Organization

CAPITOL HILL DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORMAN J BOUCHARD D.D.S. (OWNER)
(202) 863-1600
Entity
Organization

Contact information

Practice address
412 1ST ST SE, 2ND FLOOR, REAR BUILDING, WASHINGTON, DC 20003-1804
(202) 863-1600
Mailing address
412 1ST ST SE, 2ND FLOOR, REAR BUILDING, WASHINGTON, DC 20003-1804
(202) 863-1600
(202) 863-1605

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3463
DC

Other

Enumeration date
06/14/2012
Last updated
06/14/2012
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