Provider First Line Business Practice Location Address:
5800 3RD AVE
Provider Second Line Business Practice Location Address:
SCHOOL HEALTH DENTAL
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220-3702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-630-8526
Provider Business Practice Location Address Fax Number:
718-630-8714
Provider Enumeration Date:
11/07/2005