Provider First Line Business Practice Location Address:
PULASKI BARRACKS DENTAL CLINIC BLDG 2921
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAISERSLAUTERN
Provider Business Practice Location Address State Name:
FOREIGN PROVINCE
Provider Business Practice Location Address Postal Code:
67661
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
63-719-4641
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2018