| Branch Dental Clinic Camp Lejeune | |
|
100 Brewster Blvd Code 08/zd Camp Lejeune NC 28547-2538 | |
| (910) 450-4159 | |
| (910) 450-4194 |
| Full Name | Branch Dental Clinic Camp Lejeune |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Authorized Official Name and Position | William Michael Condon (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Contact | 2404013643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Dental Clinic Camp Lejeune 100 Brewster Blvd Code 08/zd Camp Lejeune NC 28547-2538 Ph: (910) 450-4159 | Branch Dental Clinic Camp Lejeune 100 Brewster Blvd Code 08/zd Camp Lejeune NC 28547-2538 Ph: (910) 450-4159 |
| NPI Number | 1316133721 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316133721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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