Provider First Line Business Mailing Address:
289 IRELAND AVE
Provider Second Line Business Mailing Address:
ORAL SURGERY, HOSPITAL DENTAL CLINIC
Provider Business Mailing Address City Name:
FORT KNOX
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40121-5111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
857-919-4334
Provider Business Mailing Address Fax Number: