Alexander Joseph Vidunas

NPI #1194358747 in Camp Pendleton, California

Provider Information

NPI Number: 1194358747
Entity Type: Individual
Name: Alexander Joseph Vidunas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 21, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: NAVAL HOSPITAL CAMP PENDLETON
Address 2: MERCY CIRCLE
City: Camp Pendleton
State: California
ZIP Code: 92055-5191
Phone: (570) 490-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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