Organization
BRANCH DENTAL CLINIC MONTEREY
Active
Parent organization
NAVAL HEALTH CLINIC LEMOORE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HEALTH CLINIC LEMOORE
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
1 UNIVERSITY CIR, MONTEREY, CA 93943-5098
(559) 998-4982
Mailing address
1 UNIVERSITY CIR, MONTEREY, CA 93943-5098
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
10/17/2017
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