Provider First Line Business Practice Location Address:
5002 73RD AVE N
Provider Second Line Business Practice Location Address:
APPLE DENTAL AFFILIATES PA
Provider Business Practice Location Address City Name:
PINELLAS PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33781
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-544-7733
Provider Business Practice Location Address Fax Number:
727-544-3150
Provider Enumeration Date:
09/25/2007