Provider First Line Business Practice Location Address:
3817 GRUBER RD BLDG H
Provider Second Line Business Practice Location Address:
SMOKE BOMB HILL DENTAL CLINIC
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
28310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-234-2424
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2014