Alexander Joseph Vidunas
Dentist in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1194358747
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1194358747
- Entity type
- Individual (NPI-1)
- Name
- Alexander Joseph Vidunas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS042748 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Naval Hospital Camp PendletonMercy Circle
Camp Pendleton, CA 92055-5191
Phone 570-490-2400
Mailing address
Naval Hospital Camp PendletonBox 555191 Mercy Circle
Camp Pendleton, CA 92055-5191
Phone 760-719-4747
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 40 Dentist providers in Camp Pendleton · All 739 providers in Camp Pendleton
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