Organization
CAPITAL DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD TIPTON BUFORD III DDS (OWNER)
(202) 667-8818
Entity
Organization
Contact information
Practice address
1209 U ST NW, WASHINGTON, DC 20009-4442
(202) 667-8818
(202) 667-1024
Mailing address
1209 U ST NW, WASHINGTON, DC 20009-4442
(202) 667-8818
(202) 667-1024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4056
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016809400
—
DC
Enumeration date
09/18/2014
Last updated
09/18/2014
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