Provider First Line Business Practice Location Address:
1159 ULSTER AVE
Provider Second Line Business Practice Location Address:
ASPEN DENTAL
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12401-1513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-481-1584
Provider Business Practice Location Address Fax Number:
845-336-6712
Provider Enumeration Date:
05/06/2008