Provider First Line Business Practice Location Address:
1042 MITCHELL AVENUE
Provider Second Line Business Practice Location Address:
UNITED HEALTH SERVICES HOSPITALS DENTAL SERVICES
Provider Business Practice Location Address City Name:
BINGHAMTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-762-2006
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2006