Provider First Line Business Practice Location Address:
3447 21ST ST
Provider Second Line Business Practice Location Address:
BLUMENTHAL & ASSOCIATES DDS PC
Provider Business Practice Location Address City Name:
LONG ISLAND CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11106-4721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-786-8667
Provider Business Practice Location Address Fax Number:
718-786-8531
Provider Enumeration Date:
11/09/2005