Provider First Line Business Practice Location Address:
USA DENTAL ACTIVITY, HOSPITAL DENTAL CLINIC
Provider Second Line Business Practice Location Address:
1061 HARMON AVE
Provider Business Practice Location Address City Name:
FT STEWART
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
571-802-0377
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2018