Provider First Line Business Practice Location Address:
331 FIRST AVENUE
Provider Second Line Business Practice Location Address:
TOTAL FAMILY DENTISTRY
Provider Business Practice Location Address City Name:
ST JAMES
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-584-5523
Provider Business Practice Location Address Fax Number:
631-686-6311
Provider Enumeration Date:
06/06/2007