Provider First Line Business Practice Location Address:
750 MONTGOMERY AVE
Provider Second Line Business Practice Location Address:
COHEN DENTAL CENTER
Provider Business Practice Location Address City Name:
BRYN MAWR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19010-3405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-526-6015
Provider Business Practice Location Address Fax Number:
610-526-6182
Provider Enumeration Date:
04/19/2012