Provider First Line Business Practice Location Address:
USS NIMITZ ( CVN 68 )
Provider Second Line Business Practice Location Address:
DENTAL DEPARTMENT
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96620 2820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-545-8711
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2005