Provider First Line Business Practice Location Address:
BLDG 3406 ALDER
Provider Second Line Business Practice Location Address:
USA DENTAC-AK, ATTN:KAMISH DENTAL CLINIC
Provider Business Practice Location Address City Name:
FT WAINWRIGHT
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99703-7440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-361-5530
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2016