Provider First Line Business Practice Location Address:
13THADC, 1ST DENTAL BATTALION
Provider Second Line Business Practice Location Address:
BLDG. 13128 14THSTREET
Provider Business Practice Location Address City Name:
CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055-5221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-532-6250
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2024