Organization
BRANCH DENTAL CLINIC SUB BASE SAN DIEGO
Active
Parent organization
NAVAL MEDICAL CENTER SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Authorized official
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
140 SYLVESTER RD, SAN DIEGO, CA 92106-3521
(619) 556-8200
Mailing address
140 SYLVESTER RD, SAN DIEGO, CA 92106-3521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
04/04/2019
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