Provider First Line Business Practice Location Address:
1024 PARK AVENUE SUITE #7
Provider Second Line Business Practice Location Address:
PARK AVENUE GENTLE DENTAL C/O HARSHA J PATEL
Provider Business Practice Location Address City Name:
PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-756-1009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2006