Provider First Line Business Practice Location Address:
USA DENTAC, 1631 WETZEL BLVD
Provider Second Line Business Practice Location Address:
BLDG 815
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-526-5400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/03/2006