Provider First Line Business Mailing Address:
110 BERGEN ST
Provider Second Line Business Mailing Address:
NEW JERSEY DENTAL SCHOOL, C-781
Provider Business Mailing Address City Name:
NEWARK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07103-2495
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-972-4210
Provider Business Mailing Address Fax Number:
973-972-3884