Organization
BRANCH DENTAL CLINIC CAMP LEJEUNE
Active
Parent organization
NAVAL MEDICAL CENTER CAMP LEJEUNE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER CAMP LEJEUNE
Authorized official
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
100 BREWSTER BLVD, CODE 08/ZD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, CODE 08/ZD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
12/20/2017
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