Provider First Line Business Practice Location Address:
7670 PARKER ROAD
Provider Second Line Business Practice Location Address:
US ARMY DENTAL CLINIC 3
Provider Business Practice Location Address City Name:
FORT RILEY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-239-4427
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/12/2007