Provider First Line Business Practice Location Address:
35 STARR STREET
Provider Second Line Business Practice Location Address:
IS 347 349 DENTAL CLINIC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-418-6389
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007