Provider First Line Business Practice Location Address:
MEDDAC-K/ TMC
Provider Second Line Business Practice Location Address:
ATTN: DENTAL, UNIT#15609
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96224-5609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
821048111635
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2015