Organization · Type 2 NPI
Branch Dental Clinic Courthouse Bay
Dental Clinic/Center · Camp Lejeune, NC
NPI number
1700392909
Active
Practice location
54 Poe Rd
Camp Lejeune, NC 28542-0046
Mailing address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1700392909
Branch Dental Clinic Courthouse Bay's National Provider Identifier is 1700392909, issued on Dec 26, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Camp Lejeune, NC. The record was last updated on Dec 26, 2017.