Provider First Line Business Practice Location Address:
527 ANDERSON AVENUE
Provider Second Line Business Practice Location Address:
CLIFFSIDE PARK DENTAL
Provider Business Practice Location Address City Name:
CLIFFSIDE PARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07010-1621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-941-8500
Provider Business Practice Location Address Fax Number:
201-840-9240
Provider Enumeration Date:
05/03/2007