Provider First Line Business Practice Location Address:
DENTAL DEPARTMENT BUILDING 137
Provider Second Line Business Practice Location Address:
NHC WILLOW GROVE
Provider Business Practice Location Address City Name:
WILLOW GROVE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
10909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-443-6379
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2005