Provider First Line Business Practice Location Address:
9900 LINCOLN STREET US ARMY DENTAL HEALTH ACTIVITY JBLM
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-598-3221
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2016