Provider First Line Business Practice Location Address:
100 E. LEHIGH AVE
Provider Second Line Business Practice Location Address:
PEDATRIC DENTAL ASSOCIATES
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-913-4427
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/05/2013