Provider First Line Business Practice Location Address:
2817 REILLY ROAD MCDS-NA-B
Provider Second Line Business Practice Location Address:
DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP B
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-7302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-396-5610
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2006