Provider First Line Business Practice Location Address:
901 FRONT STREET
Provider Second Line Business Practice Location Address:
BROOME COMMUNITY COLLEGE-DENTAL HYGEINE SCHOOL
Provider Business Practice Location Address City Name:
BINGHAMTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-778-5012
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2006