Provider First Line Business Practice Location Address:
CAMP HUMPHREYS
Provider Second Line Business Practice Location Address:
CARIUS DENTAL CLINIC BLDG 3020
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
50-737-3368
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2017