Provider First Line Business Practice Location Address:
153 BROAD ST
Provider Second Line Business Practice Location Address:
FLEMINGTON MALL FAMILY AND COSMETIC DENTAL GROUP
Provider Business Practice Location Address City Name:
FLEMINGTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08822-1629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-782-9790
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007