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BRANCH DENTAL CLINIC LAS PULGAS NPI 1730366287


NPI Information

NPI: 1730366287
Provider Name: BRANCH DENTAL CLINIC LAS PULGAS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
14TH STREET
BUILDING 13128
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 725-3213
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BRANCH DENTAL CLINIC LAS PULGAS is a dental clinic center in Camp Pendleton, CA. BRANCH DENTAL CLINIC LAS PULGAS NPI is 1730366287. The provider is registered as an organization entity type.

The provider's business location address is:

14TH STREET
BUILDING 13128
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 725-3213
Fax: (760) 725-8223

The provider's authorized official is William Michael Condon .
The authorized official title is Navy Medicine Ubo Program Manager and has the following contact phone number (240) 401-3643.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 5/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.