| Branch Dental Clinic Courthouse Bay | |
|
54 Poe Rd Camp Lejeune NC 28542-0046 | |
| (910) 450-4233 | |
| Not Available |
| Full Name | Branch Dental Clinic Courthouse Bay |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 54 Poe 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 Courthouse Bay 100 Brewster Blvd Camp Lejeune NC 28547-2575 Ph: () - | Branch Dental Clinic Courthouse Bay 54 Poe Rd Camp Lejeune NC 28542-0046 Ph: (910) 450-4233 |
| NPI Number | 1700392909 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 12/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700392909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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