Provider First Line Business Mailing Address:
351 W. 6TH STREET, SUITE 100
Provider Second Line Business Mailing Address:
US ARMY DENTAL ACTIVITY ATTN: CREDENTIALS
Provider Business Mailing Address City Name:
FORT STEWART
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-435-5826
Provider Business Mailing Address Fax Number: