United States Air Force
NPI #1407222748 in Fairfield, California
Provider Information
- NPI Number
- 1407222748
- Entity Type
- Organization
- Organization Name
- United States Air Force
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 20, 2015
- Last Updated
- Aug 20, 2015
Practice Location
- Address
- 101 BODIN CIR
- City
- Fairfield
- State
- California
- ZIP Code
- 94535-1809
- Phone
- (707) 423-7008
Authorized Official
- Name
- MARTIN HAMILTON
- Title
- AEGD DIRECTOR
- Phone
- (707) 423-7008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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