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Organization
UNITES STATES NAVY
Active
Organization
UNITES STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J N KORSNES (DIRECTOR FOR DENTAL SERVICES NMCSD)
(619) 532-6471
Entity
Organization
Contact information
Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 532-6471
Mailing address
2832 WOODCREEK RD, MIDWEST CITY, OK 73110-3126
(850) 512-0884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6488
OK
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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