Capati Dental, LLC

NPI #1720138977 in Springfield, Illinois

Provider Information

NPI Number
1720138977
Entity Type
Organization
Organization Name
Capati Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 11, 2007
Last Updated
Jul 23, 2008

Practice Location

Address
1027 S 2ND ST
ZIP Code
62704-3004
Phone
(217) 522-4451

Authorized Official

Name
MRS. SHAY L CRAWFORD, CDPMA
Title
OFFICE MANAGER
Phone
(217) 522-4451

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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