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 DDS (MANAGING MEMBER)
(202) 232-1117
Entity
Organization
Contact information
Practice address
2737 A DEVONSHIRE PLACE NW, WASHINGTON, DC 20008-1654
(202) 232-1117
(202) 232-1911
Mailing address
2737 A DEVONSHIRE PLACE NW, WASHINGTON, DC 20008-1654
(202) 232-1117
(202) 232-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN1000290
DC
1223G0001X
General Practice Dentistry
DEN2228
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1000625
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN3652
DC
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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