Provider First Line Business Practice Location Address:
256 MONTAUK HIGHWAY
Provider Second Line Business Practice Location Address:
STARLIGHT DENTAL CARE
Provider Business Practice Location Address City Name:
MORICHES
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11955
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-874-0888
Provider Business Practice Location Address Fax Number:
631-874-5111
Provider Enumeration Date:
08/31/2006