Provider First Line Business Practice Location Address:
USA DENTAL ACTIVITY, HOSPITAL DENTAL CLINIC
Provider Second Line Business Practice Location Address:
BLDG 38801 ACADEMIC, STE B&C
Provider Business Practice Location Address City Name:
FT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-787-5322
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2018