Provider First Line Business Practice Location Address:
448 MAIN ST
Provider Second Line Business Practice Location Address:
DENTAL OFFICE
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018-3217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-678-8350
Provider Business Practice Location Address Fax Number:
973-678-8755
Provider Enumeration Date:
03/13/2007