| Naval Dental Clinic Camp Pendleton | |
|
14th Street Building 13128 Camp Pendleton CA 92055-5221 | |
| (760) 725-5208 | |
| (760) 725-5779 |
| Full Name | Naval Dental Clinic Camp Pendleton |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14th Street, Camp Pendleton, California |
| 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 |
|---|---|
| Naval Dental Clinic Camp Pendleton Po Box 555221 Camp Pendleton CA 92055-5221 Ph: (760) 725-5208 | Naval Dental Clinic Camp Pendleton 14th Street Building 13128 Camp Pendleton CA 92055-5221 Ph: (760) 725-5208 |
| NPI Number | 1659555886 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659555886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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