NPIMap

Branch Dental Clinic Margarita

Organization Active NPI Dental Clinic/Center · Camp Pendleton, CA

NPI 1003093568 · NPPES record last updated May 25, 2018

Key facts

NPI
1003093568
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
BRANCH DENTAL CLINIC MARGARITA
Practice address
14 Street
Building 13128
Camp Pendleton, CA 92055
Phone
(760) 725-3213
Fax
(760) 725-8223
NPI assigned
Jan 28, 2008
Organization subpart
Yes
Parent organization (as reported)
NAVAL HOSPITAL CAMP PENDLETON

Authorized official

Name
Mr. William Michael Condon
Title
Navy Medicine Ubo Program Manager
Phone
(240) 401-3643

Corporate family (same tax ID) 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

National Provider Directory

Tax ID family
Branch Medical Clinic Area 22 (43 organizations share this tax ID)
Part of
Branch Medical Clinic Area 22

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

14 Street
Building 13128
Camp Pendleton, CA 92055

Mailing address

PO Box 555221
Camp Pendleton, CA 92055-5221
Phone (760) 725-3213

Other providers in Camp Pendleton, CA

All providers in Camp Pendleton, CA · Dental Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.