Provider First Line Business Practice Location Address:
136 W DIAMOND ST
Provider Second Line Business Practice Location Address:
KENSINGTON HOSPITAL CARE OF DENTAL CLINIC
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-291-6004
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2007