Provider First Line Business Practice Location Address:
BF THE ARMY DENTAL ACTIVITY
Provider Second Line Business Practice Location Address:
2817 REILLY RD, MCDS-NA-B
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-396-5012
Provider Business Practice Location Address Fax Number:
910-396-1296
Provider Enumeration Date:
08/01/2006