Provider First Line Business Practice Location Address:
5800 3RD AVE
Provider Second Line Business Practice Location Address:
LMC DENTAL DEPARTMENT
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220-3702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-630-6984
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2006