Provider First Line Business Practice Location Address:
73 EASTERN PARKWAY
Provider Second Line Business Practice Location Address:
GROUND FLOOR DENTAL OFFICE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-622-3109
Provider Business Practice Location Address Fax Number:
718-622-3109
Provider Enumeration Date:
02/06/2006