Provider First Line Business Practice Location Address:
1131 COMMERCE PARK DRIVE E
Provider Second Line Business Practice Location Address:
WATERTOWN DENTAL HEALTH GROUP
Provider Business Practice Location Address City Name:
WATERTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-788-1070
Provider Business Practice Location Address Fax Number:
315-785-1039
Provider Enumeration Date:
12/28/2005