Provider First Line Business Practice Location Address:
2841 BRAGG STREET
Provider Second Line Business Practice Location Address:
JEFFRY NIRENSTEIN DENTAL PC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-769-2400
Provider Business Practice Location Address Fax Number:
718-769-6222
Provider Enumeration Date:
10/11/2006