Provider First Line Business Practice Location Address:
618TH DENTAL COMPANY USAG HUMPHREYS
Provider Second Line Business Practice Location Address:
CARIUS DENTAL CLINIC UNIT 15652
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-737-9186
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2016