Provider First Line Business Practice Location Address:
110 BERGEN STREET SUITE 7700
Provider Second Line Business Practice Location Address:
CENTER DENTAL ORAL HEALTH DOCTORS OFFICE CENTER
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-972-2444
Provider Business Practice Location Address Fax Number:
973-972-2441
Provider Enumeration Date:
04/25/2006