Provider First Line Business Practice Location Address:
RIDGEWOOD ORAL SURGERY & IMPLANT CENTER
Provider Second Line Business Practice Location Address:
385 MAPLE AVENUE, SUITE 207
Provider Business Practice Location Address City Name:
GLEN ROCK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-444-5355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2015