Provider First Line Business Practice Location Address:
BUILDING 39033 SUPPORT AVE
Provider Second Line Business Practice Location Address:
USA DENTAL HEALTH ACTIVITY - DENTAL CLINIC #3
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544-1786
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-287-1225
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/09/2005