Provider First Line Business Practice Location Address:
DEPT OF THE ARMY DENTAL ACTIVITY STOP B
Provider Second Line Business Practice Location Address:
2817 REILLY RD, MCDS-NA-B
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-7302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-643-2196
Provider Business Practice Location Address Fax Number:
910-396-7017
Provider Enumeration Date:
04/20/2006