NPI | 1497930135 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM MICHAEL CONDON Navy Medicine Ubo Program Manager 240-401-3643 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2007-12-31 |
Last Update Date | 2018-04-10 |