Provider First Line Business Practice Location Address:
1171 PATERSON PLANK RD
Provider Second Line Business Practice Location Address:
MEADOWLANDS FAMILY DENTISTRY
Provider Business Practice Location Address City Name:
SECAUCUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07094-2703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-864-9153
Provider Business Practice Location Address Fax Number:
201-392-9197
Provider Enumeration Date:
04/16/2007