Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI Number | 1508179193 |
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| LBN Legal business name | CAPSTONE DENTISTRY, LLC | ||||||||
| Authorized official | MICHAEL KEMMLING - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/23/2010 | ||||||||
| Last updated | 07/23/2010 - About 16 years ago | ||||||||
| Identifiers |
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