Provider First Line Business Practice Location Address:
333 N SHIPLEY ST
Provider Second Line Business Practice Location Address:
THE DENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19801-2412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-657-5176
Provider Business Practice Location Address Fax Number:
302-657-5127
Provider Enumeration Date:
03/06/2007