Provider First Line Business Practice Location Address:
LANDSTUHL DENTAL ACTIVITY, HQ
Provider Second Line Business Practice Location Address:
MARCEAU KASERNE BLDG 3703, RM 205
Provider Business Practice Location Address City Name:
LANDSTUHL
Provider Business Practice Location Address State Name:
KIRCHBERG
Provider Business Practice Location Address Postal Code:
09180
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
06371929130
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2010