Provider First Line Business Practice Location Address:
ANGEL FAMILY DENTISTRY
Provider Second Line Business Practice Location Address:
77 SELKIRK ST.
Provider Business Practice Location Address City Name:
STATEN ISLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-269-7001
Provider Business Practice Location Address Fax Number:
718-269-6390
Provider Enumeration Date:
01/29/2009