Provider First Line Business Practice Location Address:
121 WEST NYACK ROAD
Provider Second Line Business Practice Location Address:
MARVIN DENTAL CENTER
Provider Business Practice Location Address City Name:
NANVET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-623-7470
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2008