Provider First Line Business Practice Location Address:
HORIZON DENTAL CENTER
Provider Second Line Business Practice Location Address:
107-50 QUEEND BLVD
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-793-1777
Provider Business Practice Location Address Fax Number:
718-268-4886
Provider Enumeration Date:
11/04/2005