Provider First Line Business Practice Location Address:
US NAVAL DENTAL CENTER
Provider Second Line Business Practice Location Address:
EVANS DENTAL CLINIC, CAMP FOSTER
Provider Business Practice Location Address City Name:
CHATAN
Provider Business Practice Location Address State Name:
OKINAWA
Provider Business Practice Location Address Postal Code:
OKINAWA
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
011818039637784
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2005