Provider First Line Business Practice Location Address:
20 YORK ST
Provider Second Line Business Practice Location Address:
DANA II DEPARTMENT OF DENTISTRY YALE-NEW HAVEN HOSPITAL
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510-3220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-688-2465
Provider Business Practice Location Address Fax Number:
203-688-4461
Provider Enumeration Date:
01/12/2007