Provider First Line Business Practice Location Address:
MCRD PARRIS ISLAND DENTAL
Provider Second Line Business Practice Location Address:
BLDG 674 BLVD DEFRANCE
Provider Business Practice Location Address City Name:
BEAUFORT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-228-5200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006