Provider First Line Business Practice Location Address:
COLUMBIA UNIVERSITY, COLLEGE OF DENTAL MEDICINE
Provider Second Line Business Practice Location Address:
630 W 168TH ST SUITE VC7-226
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032-1003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-342-0424
Provider Business Practice Location Address Fax Number:
845-786-4938
Provider Enumeration Date:
07/01/2005