Provider First Line Business Practice Location Address:
STONY BROOK SCHOOL OF DENTAL MEDICINE
Provider Second Line Business Practice Location Address:
DENTAL CARE CENTER, SULLIVAN HALL
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-632-3709
Provider Business Practice Location Address Fax Number:
631-362-3961
Provider Enumeration Date:
05/11/2015