Provider First Line Business Practice Location Address:
ADVANCED EDUCATION IN GENERAL DENTISTRY PROGRAM
Provider Second Line Business Practice Location Address:
2300 RAMSEY ST.
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28301-3856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-822-7029
Provider Business Practice Location Address Fax Number:
910-482-5050
Provider Enumeration Date:
06/04/2009