Provider First Line Business Practice Location Address:
3250 ZEMKE ROAD BLD 1078
Provider Second Line Business Practice Location Address:
USAF 927TH AMDS CHIEF OF DENTAL OPS
Provider Business Practice Location Address City Name:
MACDILL AFB, TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-828-5568
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2006