Provider First Line Business Practice Location Address:
COMMANDING OFFICER US NAVAL HOSPITAL
Provider Second Line Business Practice Location Address:
ATTN. DENTAL CLINIC
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09589-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
011539972241
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2006