Provider First Line Business Practice Location Address:
835 HOSPITAL ROAD
Provider Second Line Business Practice Location Address:
PEDIATRIC & ADOLESCENT DENTAL CLINIC
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-0788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-357-6960
Provider Business Practice Location Address Fax Number:
724-357-6961
Provider Enumeration Date:
03/08/2007