Provider First Line Business Practice Location Address:
USA DENTAL ACTIVITY FORT GORDON ACADEMIC AVE
Provider Second Line Business Practice Location Address:
BLDG 38801
Provider Business Practice Location Address City Name:
FORT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-787-5037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/10/2021