Provider First Line Business Practice Location Address:
1301 KINGSHIGHWAY
Provider Second Line Business Practice Location Address:
KB FAMILY DENTAL PC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-339-0747
Provider Business Practice Location Address Fax Number:
718-339-6638
Provider Enumeration Date:
03/12/2007