Provider First Line Business Practice Location Address:
NEW YORK UNIVERSITY, COLLEGE OF DENTISTRY CLINIC 4-W
Provider Second Line Business Practice Location Address:
345 EAST 24TH STREET, ADVANCED EDUCATION PROSTHODONTICS
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-669-2782
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2007