Provider First Line Business Practice Location Address:
JOINT BASE LEWIS-MCCHORD DENTAC
Provider Second Line Business Practice Location Address:
9900 LINCOLN STREET 2ND FLOOR
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-4079
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/15/2022