Provider First Line Business Practice Location Address:
LAKESIDE ANNEX 7, MS 701
Provider Second Line Business Practice Location Address:
EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-737-7037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/03/2012