Individual
DR. KRISTINA BROOKE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2D DENBN/NDC PSC 20130 315 MCHUGH BLVD, COMMANDING OFFICER, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Mailing address
2D DENBN/NDC PSC 20130 315 MCHUGH BLVD, COMMANDING OFFICER, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8903
KY
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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