Provider First Line Business Practice Location Address:
7305 NORTH MILITARY TRAIL
Provider Second Line Business Practice Location Address:
3A-200 WEST PALM BEACH VA MEDICAL CENTER DENTAL CLINIC
Provider Business Practice Location Address City Name:
WEST PALM BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33410-6400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-422-6576
Provider Business Practice Location Address Fax Number:
561-422-8595
Provider Enumeration Date:
04/18/2006