Provider First Line Business Practice Location Address:
401-FRANKLIN ST.
Provider Second Line Business Practice Location Address:
THE CENTER FOR DENTISTRY OF BLOOMFIELD, PA
Provider Business Practice Location Address City Name:
BLOOMFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-748-0400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2015