Provider First Line Business Practice Location Address:
228 BEEMAN PL
Provider Second Line Business Practice Location Address:
US ARMY DENTAL ACTIVITY
Provider Business Practice Location Address City Name:
FT RILEY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66442-7009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-239-4174
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2016