Provider First Line Business Practice Location Address:
61 PRINCETON HIGHTSTOWN RD
Provider Second Line Business Practice Location Address:
UNIT #1 (CENTER FOR ORTHODONTIC EXCELLENCE)
Provider Business Practice Location Address City Name:
PRINCETON JUNCTION
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08550-1120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-799-4628
Provider Business Practice Location Address Fax Number:
609-799-4760
Provider Enumeration Date:
01/04/2012