Provider First Line Business Practice Location Address:
USA DENTAL HEALTH ACTIVITY
Provider Second Line Business Practice Location Address:
BLDG 4055
Provider Business Practice Location Address City Name:
FT WAINWRIGHT
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-361-5515
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2009