Provider First Line Business Practice Location Address:
US ARMY DENTAL HEALTH ACTIVITY
Provider Second Line Business Practice Location Address:
1667 COCHRANE CIRCLE BLDG 7495
Provider Business Practice Location Address City Name:
FORT CARSON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-526-5537
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2017