Provider First Line Business Practice Location Address:
99 FORT WASHINGTON AVE, 1ST FLOOR
Provider Second Line Business Practice Location Address:
ACN FT. WASHINGTON DENTAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-342-0214
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/24/2008