Provider First Line Business Practice Location Address:
101 EMERSON AVE
Provider Second Line Business Practice Location Address:
JOHNSON FAMILY DENTAL ASSOC
Provider Business Practice Location Address City Name:
PITTSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-781-4511
Provider Business Practice Location Address Fax Number:
412-781-4595
Provider Enumeration Date:
10/03/2006