Organization
CAPITAL KIDS DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYER RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
1300 SPRING ST STE 8788, SILVER SPRING, MD 20910-3616
(227) 229-0170
Mailing address
1300 SPRING ST STE 8788, SILVER SPRING, MD 20910-3616
(227) 229-0170
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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