Provider First Line Business Practice Location Address:
351 WEST 6TH STREET, BLDG 440
Provider Second Line Business Practice Location Address:
U.S. ARMY DENTAL ACTIVITY, DENTAL CLINIC #1
Provider Business Practice Location Address City Name:
FORT STEWART
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31314-4704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-435-7009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/21/2016