NPI 1194222760

Branch Dental Clinic Iwakuni

Organisation Dental Clinic/Center Fpo, AP

Practice location

Address: Psc 482 Box 1600, Fpo, AP 96362-0017
Phone: (240) 401-3643

Authorised official

Name: William M Condon
Title: Bumed Ubo
Phone: (240) 401-3643

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Armed Forces Pacific →

Registry record

NPI: 1194222760
Entity type: Organization
NPI issued: 10 Apr 2018
Record last updated: 10 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.