Provider First Line Business Practice Location Address:
US ARMY HOSPITAL HDENTAC CREDENTIALS OFFICE
Provider Second Line Business Practice Location Address:
KARLSRUHESTR 144 NACHRICTEN KASERNE BLDG. 3607
Provider Business Practice Location Address City Name:
HEIDELBERG
Provider Business Practice Location Address State Name:
BADEN WURTEMBOURG
Provider Business Practice Location Address Postal Code:
69126
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
622-117-2728
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2006