Provider First Line Business Practice Location Address:
1400 PELHAM PKWY S BLDG 1
Provider Second Line Business Practice Location Address:
DENTAL CLINIC-NORTH BRONX HEALTHCARE NETWORK
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10461-1119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-653-3196
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2012