Provider First Line Business Mailing Address:
1600 SW ARCHER RD, ROOM D10-6 PO BOX 100434
Provider Second Line Business Mailing Address:
UNIVERSITY OF FLORIDA, DEPARTMENT OF PERIODONTOLOGY
Provider Business Mailing Address City Name:
GAINESVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32610-0434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-273-8360
Provider Business Mailing Address Fax Number: