United States Air Force

NPI #1548713084 in Travis Afb, California

Provider Information

NPI Number: 1548713084
Entity Type: Organization
Organization Name: United States Air Force
Primary Specialty: Dentist
Enumeration Date: Aug 2, 2016
Last Updated: Aug 2, 2016

Practice Location

Address: 101 BODIN CIR
City: Travis Afb
State: California
ZIP Code: 94535-1809
Phone: (707) 423-7008

Authorized Official

Name: MARTIN HAMILTON, DDS
Title: AEGD PROGRAM DIRECTOR
Phone: (707) 423-7008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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