Provider First Line Business Practice Location Address:
181 WESTFIELD AVE
Provider Second Line Business Practice Location Address:
CLARK FAMILY DENTAL CARE
Provider Business Practice Location Address City Name:
CLARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07066-1565
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-388-7600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/09/2007