Provider First Line Business Practice Location Address:
5981 UNIVERSITY AVENUE
Provider Second Line Business Practice Location Address:
DALHOUSIE UNIVERSITY, DEPT OF OMFS
Provider Business Practice Location Address City Name:
HALIFAX
Provider Business Practice Location Address State Name:
NOVA SCOTIA
Provider Business Practice Location Address Postal Code:
B3H 4R2
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
902-494-6411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2016