Provider First Line Business Practice Location Address:
1 JARRETT WHITE ROAD, BLDG 320 KRUKOWSKI ST.
Provider Second Line Business Practice Location Address:
USA DENTAC HAWAII
Provider Business Practice Location Address City Name:
TRIPLER AMC
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96859-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-8996
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2006