Provider First Line Business Practice Location Address:
DENTAL DEPT, BLDG 39, NAVAL HEALTH CARE FACILITY
Provider Second Line Business Practice Location Address:
NAVAL AIR ENGINEERING STATION
Provider Business Practice Location Address City Name:
LAKEHURST
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-323-2046
Provider Business Practice Location Address Fax Number:
732-323-7100
Provider Enumeration Date:
09/16/2005