Organization · Type 2 NPI
Capitol Dental Group, LLC
Dental Clinic/Center · Columbia, SC
NPI number
1295961274
Active
Practice location
1106 Anthony Ave
Columbia, SC 29201-1730
Fax (803) 252-0334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | SC-2275 (SC) |
| Dental Clinic/Center | 261QD0000X | SC-4484 (SC) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1295961274
Capitol Dental Group, LLC's National Provider Identifier is 1295961274, issued on Jun 4, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Columbia, SC. The record was last updated on Jun 4, 2009.