Bdc Barstow
NPI #1376720821 in Camp Pendleton, California
Provider Information
- NPI Number
- 1376720821
- Entity Type
- Organization
- Organization Name
- Bdc Barstow
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 28, 2008
- Last Updated
- Jan 28, 2008
Practice Location
- Address
- 14TH STREET
- Address 2
- BUILDING 13128
- City
- Camp Pendleton
- State
- California
- ZIP Code
- 92055-5221
- Phone
- (760) 725-3213
Authorized Official
- Name
- MRS. LUANNE DENISE WALTERS
- Title
- MEDICAL STAFF SERVICE PROFESSIONAL
- Phone
- (760) 725-3213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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