Provider First Line Business Practice Location Address:
US ARMY FORT DRUM STONE DENTAL CLINIC
Provider Second Line Business Practice Location Address:
10590 ENDURING FREEDOM DRIVE
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
13602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-772-5576
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2012