Provider First Line Business Practice Location Address:
4861 LOGISTICS AVE BLDG M
Provider Second Line Business Practice Location Address:
JOEL DENTAL CLINIC
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-643-2196
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2006