Provider First Line Business Practice Location Address:
146 CLARK RD, BLDG 339
Provider Second Line Business Practice Location Address:
USA DENTAL HEALTH ACTIVITY
Provider Business Practice Location Address City Name:
FT SHAFTER
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-438-3990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/02/2016