United States Air Force | |
101 Bodin Cir Travis Afb CA 94535-1809 | |
(707) 423-7008 | |
Not Available |
Full Name | United States Air Force |
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Speciality | Dentist |
Location | 101 Bodin Cir, Travis Afb, California |
Authorized Official Name and Position | Martin Hamilton (AEGD PROGRAM DIRECTOR) |
Authorized Official Contact | 7074237008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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United States Air Force 101 Bodin Cir Travis Afb CA 94535-1809 Ph: () - | United States Air Force 101 Bodin Cir Travis Afb CA 94535-1809 Ph: (707) 423-7008 |
NPI Number | 1548713084 |
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Provider Enumeration Date | 08/02/2016 |
Last Update Date | 08/02/2016 |
Identifier | Type | State | Issuer |
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1548713084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019030225 (Illinois) | Primary |