Individual
DR. ANNA MARIE CAPTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
449 MEADOWLARK ST, SHAW AFB, SC 29152-5020
(803) 895-6988
Mailing address
449 MEADOWLARK ST, SHAW AFB, SC 29152-5020
(803) 895-6988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14740
MN
Other
Enumeration date
05/17/2022
Last updated
01/09/2025
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