Provider First Line Business Practice Location Address:
1ST DENTAL BATTALION/NAVAL DENTAL CENTER
Provider Second Line Business Practice Location Address:
ATTN: MEDICAL STAFF SVES; BLDG 2238 A AVE
Provider Business Practice Location Address City Name:
CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055-5221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-939-1914
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2020