| Capitol Dental Group | |
|
3124 Senter Rd San Jose CA 95111 | |
| (408) 227-7264 | |
| Not Available |
| Full Name | Capitol Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3124 Senter Rd, San Jose, California |
| Authorized Official Name and Position | Mindi Thai (PRESIDENT) |
| Authorized Official Contact | 4084061005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Dental Group 3124 Senter Rd San Jose CA 95111-1257 | Capitol Dental Group 3124 Senter Rd San Jose CA 95111 Ph: (408) 227-7264 |
| NPI Number | 1093299059 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 09/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093299059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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