# BRANCH DENTAL CLINIC KANEOHE BAY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL HOSPITAL OKINAWA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134304876
- **Legal business name:** NAVAL HOSPITAL OKINAWA
- **Authorized official:** MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 3D DENTAL BN, KANEOHE BAY, HI 96863
- **Practice address phone:** (240) 401-3643
- **Mailing address:** PSC 482 BOX 1600, FPO, AP 96362-0017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 04/11/2018