Provider First Line Business Practice Location Address:
USA DENTAL HEALTH ACTIVITY
Provider Second Line Business Practice Location Address:
BLDG 2901 CARRINGTON RD
Provider Business Practice Location Address City Name:
FT BLISS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-742-5935
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2015