Organization · Type 2 NPI

Capitol Periodontal Group

Periodontics · Roseville, CA

NPI number 1235321852 Active

Practice location

2428 Professional Dr, Ste 100
Roseville, CA 95661-7774

Fax (916) 786-7542

Mailing address

PO Box 255727
Sacramento, CA 95865-5727

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1235321852

Capitol Periodontal Group's National Provider Identifier is 1235321852, issued on Aug 16, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Roseville, CA. The record was last updated on Aug 16, 2007.