Provider First Line Business Practice Location Address:
12720 KANSAS AVE
Provider Second Line Business Practice Location Address:
BOAK DENTAL CLINIC FORT LEONARD WOOD
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
65584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-596-1470
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/15/2018