Provider First Line Business Practice Location Address:
CHILDREN'S HOSPITAL OF EASTERN ONTARIO, 401 SMYTH ROAD
Provider Second Line Business Practice Location Address:
DENTAL CLINIC (C7)
Provider Business Practice Location Address City Name:
OTTAWA
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
K1N 1J6
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
613-737-2616
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2016