Provider First Line Business Practice Location Address:
USA DENTAC-FT. HOOD ATTN: CREDENTIALS
Provider Second Line Business Practice Location Address:
BLDG 36000, STE 1048 DARNALL LOOP
Provider Business Practice Location Address City Name:
FT. HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544-5054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-287-1786
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/25/2018