Provider First Line Business Practice Location Address:
U.S. ARMY DENTAL HEALTH ACTIVITY
Provider Second Line Business Practice Location Address:
BLDG 2441, 21ST
Provider Business Practice Location Address City Name:
FORT CAMPBELL
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-853-1233
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2022