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Organization
BRANCH DENTAL CLINIC TWENTYNINE PALMS
Active
Organization
BRANCH DENTAL CLINIC TWENTYNINE PALMS
Active
Parent organization
NAVAL HOSPITAL CAMP PENDLETON
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL CAMP PENDLETON
Authorized official
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
14TH STREET, BUILDING 13128, CAMP PENDLETON, CA 92055
(760) 725-3213
(760) 725-8223
Mailing address
PO BOX 555221, CAMP PENDLETON, CA 92055-5221
(760) 725-3213
(760) 725-8223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
05/25/2018
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