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Organization

NAVAL DENTAL CLINIC CAMP PENDLETON

Active
Parent organization
NAVAL HOSPITAL CAMP PENDELTON
Organization subpart
Yes

Provider details

NPI number
Legal business name
NAVAL HOSPITAL CAMP PENDELTON
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization

Contact information

Practice address
14TH STREET, BUILDING 13128, CAMP PENDLETON, CA 92055-5221
(760) 725-5208
(760) 725-5779
Mailing address
PO BOX 555221, CAMP PENDLETON, CA 92055-5221
(760) 725-5208
(760) 725-5779

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/24/2007
Last updated
11/07/2017
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