Provider First Line Business Practice Location Address:
804 CLINTON AVE
Provider Second Line Business Practice Location Address:
CLINTON HILL DENTAL ASSOC
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-374-5200
Provider Business Practice Location Address Fax Number:
973-374-5609
Provider Enumeration Date:
01/06/2006