| Branch Dental Clinic Sub Base San Diego | |
|
140 Sylvester Rd San Diego CA 92106-3521 | |
| (619) 556-8200 | |
| Not Available |
| Full Name | Branch Dental Clinic Sub Base San Diego |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 140 Sylvester Rd, San Diego, California |
| 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 Sub Base San Diego 140 Sylvester Rd San Diego CA 92106-3521 Ph: () - | Branch Dental Clinic Sub Base San Diego 140 Sylvester Rd San Diego CA 92106-3521 Ph: (619) 556-8200 |
| NPI Number | 1194903021 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194903021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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