Provider First Line Business Practice Location Address:
BLDG 36014, WRATTEN DR
Provider Second Line Business Practice Location Address:
BILLY JOHNSON DENTAL CLINIC
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-286-7401
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/23/2016