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Organization
BRANCH DENTAL CLINIC KANEOHE BAY
Active
Organization
BRANCH DENTAL CLINIC KANEOHE BAY
Active
Parent organization
NAVAL HOSPITAL OKINAWA
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL OKINAWA
Authorized official
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
3D DENTAL BN, KANEOHE BAY, HI 96863
(240) 401-3643
Mailing address
PSC 482 BOX 1600, FPO, AP 96362-0017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/31/2007
Last updated
04/11/2018
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