Organization
CAPITAL DENTAL OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA MARIA CAMPOS VASQUEZ DDS (PRESIDENT)
(240) 535-8126
Entity
Organization
Contact information
Practice address
3100 20TH ST NE, WASHINGTON, DC 20018-2420
(202) 526-6720
(202) 269-0090
Mailing address
3100 20TH ST NE, WASHINGTON, DC 20018-2420
(202) 526-6720
(202) 269-0090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415043
VA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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