Provider First Line Business Practice Location Address:
1 LONG WHARF DR
Provider Second Line Business Practice Location Address:
YNHH PEDIATRIC DENTISTRY , STE 403
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-688-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2016