Provider First Line Business Practice Location Address:
US ARMY DENTAL ACTIVITY-BAVARIA, CREDENTIALS OFFICE
Provider Second Line Business Practice Location Address:
UNIT 28038
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
011499662834738
Provider Business Practice Location Address Fax Number:
011499662834741
Provider Enumeration Date:
01/24/2006