Provider First Line Business Practice Location Address:
8476 SIMMOND ST
Provider Second Line Business Practice Location Address:
U.S. ARMY DENTAL ACTIVITY
Provider Business Practice Location Address City Name:
FORT MEADE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20755-7083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-677-5922
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2013