Provider First Line Business Practice Location Address:
1644 DEER PARK AVE.
Provider Second Line Business Practice Location Address:
PARK HILLS DENTAL CENTER
Provider Business Practice Location Address City Name:
DEER PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-586-7100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2009