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Individual

DR. JOSEPH FERNANDO CAPETILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
BLDG # 36014 WRATTEN AVE, FORT HOOD, TX 76544
(254) 286-7401
Mailing address
618TH DENTAL COMPANY, UNIT 15652, BLDG S5403, APO, AP 96205
(315) 737-2600
(315) 736-7703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
25896
TX
1223P0300X
Periodontics
Primary
25896
TX

Other

Enumeration date
10/08/2010
Last updated
08/06/2018
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