Provider First Line Business Practice Location Address:
6455 MACHINE STREET
Provider Second Line Business Practice Location Address:
APG DENTAL CLINIC
Provider Business Practice Location Address City Name:
ABERDEEN PROVING GROUND
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-278-1795
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2006