Provider First Line Business Practice Location Address:
BLDG 320 KRUKOWSKI ST
Provider Second Line Business Practice Location Address:
USA DENTAC
Provider Business Practice Location Address City Name:
TRIPLER AMC
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96859-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-1021
Provider Business Practice Location Address Fax Number:
808-433-3928
Provider Enumeration Date:
10/17/2011