Provider First Line Business Practice Location Address:
HQS, U.S. ARMY DENTAL ACTIVITY
Provider Second Line Business Practice Location Address:
51005 WINANS RILEY BARRACKS EAST WING
Provider Business Practice Location Address City Name:
FORT HUACHUCA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85613-7040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-533-3144
Provider Business Practice Location Address Fax Number:
520-533-7285
Provider Enumeration Date:
05/23/2006