Capitol Hill Dental Group
Dentist, General Practice in Washington, DC. Organization (NPI-2).
NPI number1124380100
StatusActive
Last updated in NPPESJun 14, 2012
Details
- NPI
- 1124380100
- Entity type
- Organization (NPI-2)
- Legal business name
- Capitol Hill Dental Group
- Organization subpart
- No
- Enumeration date
- Jun 14, 2012
- Last updated
- Jun 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3463 | DC | Yes |
Practice location
412 1st St Se2nd Floor, Rear Building
Washington, DC 20003-1804
Phone 202-863-1600
Mailing address
412 1st St Se2nd Floor, Rear Building
Washington, DC 20003-1804
Phone 202-863-1600 · Fax 202-863-1605
Authorized official
Norman J Bouchard
Owner
2028631600
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