Provider First Line Business Practice Location Address:
2D DENTAL BATTALION
Provider Second Line Business Practice Location Address:
NAVAL DENTAL CENTER
Provider Business Practice Location Address City Name:
CAMP LEJEUNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
29405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-451-2208
Provider Business Practice Location Address Fax Number:
910-451-2208
Provider Enumeration Date:
12/15/2005