Provider First Line Business Practice Location Address:
1637 EAST 17TH ST. 2ND FLOOR
Provider Second Line Business Practice Location Address:
J.S. ATLANTIC DENTAL P.C.
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229-7035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-339-0627
Provider Business Practice Location Address Fax Number:
718-339-0466
Provider Enumeration Date:
02/23/2007