| Branch Dental Clinic Kaneohe Bay | |
|
3d Dental Bn Kaneohe Bay HI 96863 | |
| (240) 401-3643 | |
| Not Available |
| Full Name | Branch Dental Clinic Kaneohe Bay |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3d Dental Bn, Kaneohe Bay, Hawaii |
| 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 Kaneohe Bay Psc 482 Box 1600 Fpo AP 96362-0017 Ph: () - | Branch Dental Clinic Kaneohe Bay 3d Dental Bn Kaneohe Bay HI 96863 Ph: (240) 401-3643 |
| NPI Number | 1134304876 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134304876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |