Provider First Line Business Practice Location Address:
MPTB NIDCR NIH
Provider Second Line Business Practice Location Address:
BLDG. 10, RM. 1N113, MSC-1190
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20892-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-496-1363
Provider Business Practice Location Address Fax Number:
301-402-1228
Provider Enumeration Date:
04/23/2009