Provider First Line Business Practice Location Address:
SUFFOLK DENTAL CENTERSOUTH SHORE MALL
Provider Second Line Business Practice Location Address:
1701 SUNRISE HIGHWAY
Provider Business Practice Location Address City Name:
BAY SHORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-666-1710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/11/2007