Provider First Line Business Practice Location Address:
1 FORT SHAFTER BASE BLDG 884
Provider Second Line Business Practice Location Address:
US ARMY DENTAL ACTIVITY HAWAII
Provider Business Practice Location Address City Name:
FORT SHAFTER
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96858-5099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-438-4131
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/01/2013