Provider First Line Business Practice Location Address:
286 GENESEE ST
Provider Second Line Business Practice Location Address:
THE DENTAL ARTS OFFICE
Provider Business Practice Location Address City Name:
UTICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13502-4639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-797-2555
Provider Business Practice Location Address Fax Number:
315-797-9345
Provider Enumeration Date:
11/01/2006