| Branch Dental Clinic Camp Johnson | |
|
129 Montford Landing Rd Camp Lejeune NC 28542-0043 | |
| (910) 450-4233 | |
| Not Available |
| Full Name | Branch Dental Clinic Camp Johnson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 129 Montford Landing Rd, Camp Lejeune, North Carolina |
| Authorized Official Name and Position | William M Condon (BUMED UBO) |
| Authorized Official Contact | 2404013643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Dental Clinic Camp Johnson 100 Brewster Blvd Camp Lejeune NC 28547-2575 Ph: () - | Branch Dental Clinic Camp Johnson 129 Montford Landing Rd Camp Lejeune NC 28542-0043 Ph: (910) 450-4233 |
| NPI Number | 1548776735 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 12/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548776735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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