Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1063384527 |
| LBN Legal business name | CAPITAL CENTER FOR ORAL & MAXILLOFACIAL SURGERY |
| Authorized official | MAGGIE VASQUEZ - (INSURANCE COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/23/2025 |
| Last updated | 09/23/2025 - About 8 months ago |
| Identifiers | n/a |
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| METRO HEALTH SERVICES PLLC 3327 DUKE ST. ALEXANDRIA, DC |
| NEIVILLE A TEZI JR 6715 LAMONT DR 2041 MLK JR. AVE SE, SUITE, DC |