Provider First Line Business Practice Location Address:
122 EAST 23RD STREET
Provider Second Line Business Practice Location Address:
UCP DENTAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-677-7400
Provider Business Practice Location Address Fax Number:
212-529-2071
Provider Enumeration Date:
05/02/2006