Provider First Line Business Practice Location Address:
1615 TRUEMPER ST
Provider Second Line Business Practice Location Address:
DUNN DENTAL CLINIC, RM B227
Provider Business Practice Location Address City Name:
JBSA LACKLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-292-0774
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2005