Provider First Line Business Practice Location Address: 
SCHOFIELD BARRACKS DENTAL CLINIC
    Provider Second Line Business Practice Location Address: 
315 BRANNON RD BLDG 674
    Provider Business Practice Location Address City Name: 
SCHOFIELD BARRACKS
    Provider Business Practice Location Address State Name: 
HI
    Provider Business Practice Location Address Postal Code: 
96857
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
910-396-7344
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
06/30/2011