Provider First Line Business Practice Location Address:
US ARMY DENTAL HEALTH ACTIVITY
Provider Second Line Business Practice Location Address:
BLDG 38801 ACADEMIC DR, STE B&C
Provider Business Practice Location Address City Name:
FT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905-5660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-787-5102
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2016