Provider First Line Business Practice Location Address:
USA DENTAL HEALTH ACTIVITY
Provider Second Line Business Practice Location Address:
BLDG 38801 ACADEMIC DR, SUITE B&C
Provider Business Practice Location Address City Name:
FT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905-5660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-787-5738
Provider Business Practice Location Address Fax Number:
706-787-2082
Provider Enumeration Date:
05/08/2006