Provider First Line Business Practice Location Address:
BLDG 6037 BESSINGER RD
Provider Second Line Business Practice Location Address:
ALLEN DENTAL CLINIC
Provider Business Practice Location Address City Name:
FORT SILL
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-442-5223
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2006