Provider First Line Business Practice Location Address:
LANDSTUL DENTAL ACTIVITY
Provider Second Line Business Practice Location Address:
BLDG 3703 KIRCHBERG KASERNE
Provider Business Practice Location Address City Name:
LANDSTUHL
Provider Business Practice Location Address State Name:
RP
Provider Business Practice Location Address Postal Code:
66849
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
0114963719464
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/18/2015