Provider First Line Business Practice Location Address:
7101 HOFF STREET,MEDDAC
Provider Second Line Business Practice Location Address:
HEADQUARTERS,UNITED STATES ARMY DENTAL ACTIVITY
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31905-5610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-544-2051
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2006