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Organization

CAPITAL KIDS DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA EXELBERT RUBIN DDS (OWNER)
(202) 545-7200
Entity
Organization

Contact information

Practice address
4200 WISCONSIN AVE NW STE 240, WASHINGTON, DC 20016-2143
(202) 545-7200
Mailing address
4200 WISCONSIN AVE NW STE 240, WASHINGTON, DC 20016-2143
(202) 545-7200

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN1000864
DC

Other

Enumeration date
06/30/2015
Last updated
07/08/2015
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