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Christopher Juffan Galeos Porquiado, CRDH

Dental Hygienist in Camp Lejeune, NC. Individual provider (NPI-1).

NPI number1013672575
StatusActive
Last updated in NPPESNov 1, 2021

Details

NPI
1013672575
Entity type
Individual (NPI-1)
Name
Christopher Juffan Galeos Porquiado
Credential
CRDH
Sex
Male
Sole proprietor
No
Enumeration date
Nov 1, 2021
Certification date
Sep 26, 2021
Last updated
Nov 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental HygienistDH26009FLYes

Practice location

Bldg 460 Osborne Dental Clinic
2nd Dental Battalion
Camp Lejeune, NC 28542-0125

Phone 910-467-3930

Mailing address

Psc Box 20130
Camp Lejeune, NC 28542-0125

Phone 910-467-3930

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Other Dental Hygienist providers in Camp Lejeune, NC

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